MRI lower back without contrast at Breckinridge Memorial Hospital. CPT 72148.
What Breckinridge Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$1,560cash price (self-pay)
$3,119list price
$400–$3,119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellcare Mcaid - All Other Plans | Wellcare Mcaid - All Other Plans | $400 |
| Aetna Better Health Medicaid | Aetna Better Health Medicaid | $400 |
| Blue Cross Medicaid | Blue Cross Medicaid | $400 |
| University Health Care - All Other Plans | University Health Care - Al | $400 |
| Blue Cross Pathway HMO | Blue Cross Pathway HMO | $827 |
| Blue Cross Pathway Hpn | Blue Cross Pathway Hpn | $827 |
| Blue Cross PPO - All Other Plans | Blue Cross PPO - All Other Plans | $962 |
| Blue Cross HMO | Blue Cross HMO | $962 |
| Blue Cross Trad | Blue Cross Trad | $962 |
| Tricare - All Plans | Tricare - All Plans | $1,011 |
| Molina Mcr Adv - All Plans | Molina Mcr Adv - All Plans | $1,080 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,123 |
| UHC Va Ccn | UHC Va Ccn | $1,123 |
| Wellcare Mcr Adv | Wellcare Mcr Adv | $1,123 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $1,123 |
| Caresource - All Plans | Caresource - All Plans | $1,123 |
| UHC Mcr Adv | UHC Mcr Adv | $1,123 |
| University Health Care Mcr Adv | University Health Care Mcr Adv | $1,123 |
| Ambetter Comm/Exch - All Plans | Ambetter Comm/Exch - All Plans | $1,235 |
| Aetna Commercial - All Other Plans | Aetna Commercial - All Other Plan | $2,339 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $2,651 |
| Blue Cross Mcare Select | Blue Cross Mcare Select | $3,119 |
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