MRI lower back without contrast at Menorah Medical Center. CPT 72148.
What Menorah Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$13,017cash price (self-pay)
$13,017list price
$131–$10,414range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | MGMCD | $131 |
| United | KSMGMCD | $131 |
| HealthyBlue | MGMCD | $134 |
| Sunflower State Health Plan | MCD | $135 |
| Aetna Better Health | MCD | $136 |
| Unicare | MGMCD | $136 |
| Aetna Coventry | FamilyHealthPlanMCD | $204 |
| United | MOMGMCD | $206 |
| Home State Health Plan | MCD | $216 |
| Multiplan | WCOMPMissouri | $246 |
| Cigna | SureFit/LocalPlus | $289 |
| CorVel Corporation | KSWC | $292 |
| Multiplan | WCOMPKansas | $299 |
| OHA Network | KansasWCOMP | $304 |
| Cigna | LocalKC | $335 |
| Cigna | Comm | $420 |
| United | AllPayerAppendix | $518 |
| BCBS | Blue-Care(HMO) | $622 |
| BCBS | BlueAccess | $622 |
| BCBS | Preferred-CareBlue(PPO) | $622 |
| Aetna | IVLHIX | $1,074 |
| Aetna | KCCarePlus | $1,136 |
| Aetna | Local | $1,514 |
| Anthem MissouriCare | MissouriCareMGMCD | $1,692 |
| Aetna | National | $1,836 |
| Ambetter | Commercial-Exchange | $2,421 |
| Humana | ASO | $2,942 |
| BCBS | FreedomNetworkSelect | $2,994 |
| BCBS | FreedomNetwork | $5,207 |
| BCBS | PC | $5,207 |
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