MRI lower back without contrast at Trego County Lemke Memorial Hospital. CPT 72148.
What Trego County Lemke Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$786cash price (self-pay)
$925list price
$453–$925range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana-All Plans | Humana-All Plans | $453 |
| Tricare-All Plans | Tricare-All Plans | $489 |
| Sunflower Mcr | Sunflower Mcr | $574 |
| Aetna Mcr Adv | Aetna Mcr Adv | $574 |
| UHC Mcr Adv | UHC Mcr Adv | $574 |
| Va Ccn - All Plans | Va Ccn - All Plans | $574 |
| Ambetter Exch - All Plans | Ambetter Exch - All Plans | $631 |
| BCBS - All Plans | BCBS - All Plans | $756 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $786 |
| Umr - All Plans | Umr - All Plans | $786 |
| Aetna-All Other Plans | Aetna-All Other Plans | $833 |
| Health Partners - All Plans | Health Partners - All Plans | $879 |
| Sunflower Mcaid - All Other Plans | Sunflower Mcaid - All Other Plans | $925 |
| UHC Mcaid | UHC Mcaid | $925 |
| Healthy Blue Mcaid - All Plans | Healthy Blue Mcaid - All Plans | $925 |
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