MRI lower back without contrast at St. Catherine Hospital - Dodge City. CPT 72148.
What St. Catherine Hospital - Dodge City publishes for this service, straight from its standard-charges file, last updated February 5, 2026.
Outpatient / ER
$1,596cash price (self-pay)
$3,989list price
$109–$3,590range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Managed Medicare | $109 |
| Blue Cross Blue Shield of Kansas | Managed Medicare | $109 |
| Cigna Healthcare | Managed Medicare | $109 |
| Humana | Managed Medicare | $109 |
| Kaiser | Managed Medicare | $109 |
| Kansas Health | Managed Medicare | $109 |
| Managed Medicare | Managed Medicare | $109 |
| Medicare | Medicare | $109 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $543 |
| Blue Cross Blue Shield of Kansas | Commercial PPO/HMO | $650 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $2,625 |
| WPAA | Commercial | $2,792 |
| Aetna | Commercial PPO/POS/HMO | $3,191 |
| Christian Health Aid | Commercial | $3,191 |
| Multiplan | Commercial Primary | $3,191 |
| Health Partners of Kansas | Commercial | $3,590 |
| Multiplan | Commercial Complementary | $3,590 |
Inpatient
$1,596cash price (self-pay)
$3,989list price
$2,625–$3,590range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial PPO/POS/HMO/EPO | $2,625 |
| Aetna | Commercial PPO/POS/HMO | $2,792 |
| Christian Health Aid | Commercial | $3,191 |
| Multiplan | Commercial Primary | $3,191 |
| Health Partners of Kansas | Commercial | $3,590 |
| Multiplan | Commercial Complementary | $3,590 |
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