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MRI lower back without contrast at Ellsworth County Medical Center. CPT 72148.

What Ellsworth County Medical Center publishes for this service, straight from its standard-charges file, last updated August 4, 2026.

Outpatient / ER

$962cash price (self-pay)
$962list price
$471–$1,443range insurers pay
Insurance planNegotiated rate
Healthy Blue Mcr Adv | Healthy Blue Mcr Adv$471
Humana Mcr Adv | Humana Mcr Adv$471
Triwest -All Plans | Triwest -All Plans$471
Va Ccn-All Plans | Va Ccn-All Plans$471
BCBS Blue Choice-All Other Plans | BCBS Blue Choice-All Other Plans$495
BCBS Cap | BCBS Cap$521
UHC Mcr Adv | UHC Mcr Adv$625
Aetna-All Plans | Aetna-All Plans$866
First Health - All Plans | First Health - All Plans$866
Humana Comm - All Other Plans | Humana Comm - All Other Plans$914
Cigna/Hpk-All Plans | Cigna/Hpk-All Plans$914
UHC Comm-All Other Plans | UHC Comm-All Other Plans$914
Coventry Mcaid-All Plans | Coventry Mcaid-All Plans$962
Healthy Blue Mcaid- All Other Plans | Healthy Blue Mcaid- All Other Pl$962
UHC Mcaid/Chip | UHC Mcaid/Chip$962
Sunflower Mcaid - All Plans | Sunflower Mcaid - All Plans$962
Providers Care-Wppa-All Plans | Providers Care-Wppa-All Plans$1,443
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All common services at Ellsworth County Medical Center