MRI lower back without contrast at Witham Memorial Hospital. CPT 72148.
What Witham Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,496cash price (self-pay)
$3,566list price
$117–$8,915range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Medicaid | Anthem Medicaid | $117 |
| Anthem Hip | Anthem Hip | $252 |
| Mdwise Health In-All Plans | Mdwise Health In-All Plans | $252 |
| Anthem Mcr Adv | Anthem Mcr Adv | $252 |
| Caresource Mcr Adv | Caresource Mcr Adv | $257 |
| Aetna Mcr Adv | Aetna Mcr Adv | $260 |
| Caresource Indiana Marketplace-All Other Plans | Caresource Indiana MA | $480 |
| Anthem Exch | Anthem Exch | $2,211 |
| Anthem HMO | Anthem HMO | $2,456 |
| Anthem PPO | Anthem PPO | $2,456 |
| Aetna-All Other Plans | Aetna-All Other Plans | $2,639 |
| UHC-All Plans | UHC-All Plans | $2,781 |
| Anthem Trad-All Other Plans | Anthem Trad-All Other Plans | $2,808 |
| Phcs/Multiplan-All Plans | Phcs/Multiplan-All Plans | $3,245 |
| Sagamore-All Plans | Sagamore-All Plans | $3,281 |
| Humana Choice Care-All Plans | Humana Choice Care-All Plans | $3,316 |
| Beech Street-All Plans | Beech Street-All Plans | $3,352 |
| Encore-All Plans | Encore-All Plans | $3,388 |
| Mhs Comml Exch-All Plans | Mhs Comml Exch-All Plans | $8,915 |
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