MRI lower back without contrast at Wesley Medical Center. CPT 72148.
What Wesley Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$18,416cash price (self-pay)
$18,416list price
$131–$16,574range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | MGMCD | $131 |
| HealthyBlue | MCD | $134 |
| Sunflower State Health Plan | MCD | $135 |
| Aetna Better Health | MCD | $136 |
| Amerigroup | MCD | $136 |
| First Health | WCOMP | $292 |
| Multiplan | BeechStreetWorkersComp | $304 |
| Multiplan | WorkersComp | $304 |
| United | AllPayerAppendix | $518 |
| BCBS | BlueChoice | $531 |
| BCBS | Cap | $531 |
| Aetna | LocalOpen | $987 |
| Aetna | NationalOpen | $1,128 |
| United | OptionsPPO | $2,633 |
| Health Partners of Kansas | CignaLocalPlusNetwork | $3,186 |
| WPPA | ProviderCareNetwork | $3,204 |
| WPPA | UnifiedHealth | $3,204 |
| WPPA | WPPAPrimeNetwork | $3,204 |
| Centene | HIX | $3,315 |
| Medical Associates Health Plan | COMM | $3,481 |
| Preferred Health Choices | COMM | $3,481 |
| Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $4,346 |
| Spirit Aerosystems | COMMOON | $5,893 |
| Aetna | Spirit | $6,575 |
| First Health | PPO | $8,214 |
| United | GlobalBenefitPlan | $8,287 |
| Health Partners of Kansas | Humana | $9,208 |
| Triwest Healthcare Alliance | Tricare | $11,970 |
| Multiplan | COMMPPOPRIMARYNETWORK | $12,891 |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $15,654 |
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