MRI lower back without contrast at Kiowa District Hospital. CPT 72148.
What Kiowa District Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$760cash price (self-pay)
$950list price
$371–$1,534range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare-All Plans | Tricare-All Plans | $371 |
| BCBS-All Plans | BCBS-All Plans | $521 |
| Healthchoice-All Plans | Healthchoice-All Plans | $583 |
| UHC-All Other Plans | UHC-All Other Plans | $760 |
| Health Partners Of Ks-All Plans | Health Partners Of Ks-All Plans | $836 |
| Humana Veterans-All Plans | Humana Veterans-All Plans | $857 |
| Gbs Insurance - All Plans | Gbs Insurance - All Plans | $893 |
| Multiplan-All Plans | Multiplan-All Plans | $893 |
| Triwest-All Plans | Triwest-All Plans | $903 |
| Aetna Better Hlth Mcr-All Plans | Aetna Better Hlth Mcr-All Plans | $903 |
| Railroad Medicare-All Plans | Railroad Medicare-All Plans | $903 |
| UHC Va Ccn | UHC Va Ccn | $903 |
| Sunflower Medicaid-All Plans | Sunflower Medicaid-All Plans | $950 |
| UHC Medicaid | UHC Medicaid | $950 |
| Providers Care (Wppa)-All Plans | Providers Care (Wppa)-All Plans | $1,425 |
| Liberty Healthshare-All Plans | Liberty Healthshare-All Plans | $1,534 |
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