MRI lower back without contrast at Allen County Regional Hospital. CPT 72148.
What Allen County Regional Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,728cash price (self-pay)
$2,880list price
$131–$2,880range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $131 |
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $131 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $136 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $136 |
| Blue Cross Blue Shield [4000] | Bc Blue Choice Allen Anderson Cushing | $500 |
| Blue Cross Blue Shield [4000] | Bc Cap Allen Anderson Cushing [40004] | $526 |
| Blue Cross Blue Shield [4000] | Bc Ks Exch HMO Allen Anderson Cushing | $526 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Allen Anderson Cushing | $526 |
| Blue Cross Blue Shield [4000] | Zzzbc Preferred Care Blue Slhs [40027] | $956 |
| Cigna [7000] | Cigna Bjc Flex Or HDHP [70017] | $956 |
| Commercial-Contracted [8000] | Providrs Care Network [80021] | $1,382 |
| Humana [7500] | Zzzhumana Commercial PPO POS [75001] | $1,529 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $1,767 |
| Commercial-Contracted [8000] | Chc Se Ks Luminare Employee Plan [80085 | $2,074 |
| Commercial-Contracted [8000] | Phcs Multiplan [80056] | $2,160 |
| First Health [5512] | First Health Medishare [55122] | $2,373 |
| First Health [5512] | First Health Misc [55116] | $2,373 |
| First Health [5512] | First Health Repricing Addrs [55113] | $2,373 |
| First Health [5512] | First Health Uprehs [55119] | $2,373 |
| First Health [5512] | Zzzfirst Health Benefit Management [55117] | $2,373 |
| Aetna [5000] | Aetna Local [50005] | $2,375 |
| Aetna [5000] | Aetna Meritain Local [50015] | $2,375 |
| Aetna [5000] | Aetna Meritain National [50001] | $2,375 |
| Aetna [5000] | Aetna National [50006] | $2,375 |
| Aetna [5000] | Aetna Signature Misc PPO [50010] | $2,375 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2905 [50002] | $2,375 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2920 [50000] | $2,375 |
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $2,375 |
| Aetna [5000] | Aetna I35 Meritain Nap [50018] | $2,448 |
| Aetna [5000] | Aetna Nap [50014] | $2,448 |
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