MRI lower back without contrast at Monroe Surgical Hospital. CPT 72148.
What Monroe Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$2,145cash price (self-pay)
$2,860list price
$216–$2,574range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $216 |
| Blue_cross_blue_shield | Medicare Advantage | $216 |
| Ford_bacon_and_davis | Medicare | $216 |
| Humana | Medicare Advantage | $216 |
| Medicare | Medicare | $216 |
| UHC | Medicare Advantage | $216 |
| Vaccn_optum | Medicare | $216 |
| Vantage | Medicare Advantage | $216 |
| Insurance_systems_smso_employee | Smso Employee | $270 |
| Insurance_systems | Medicare | $302 |
| Blue_cross_blue_shield | Commercial | $323 |
| Verity | Commercial | $351 |
| Healthy_blue | Medicaid | $367 |
| Medicaid | Medicaid | $367 |
| Medicaid_amerihealth | Medicaid | $367 |
| Humana | Commercial | $378 |
| Vantage | Medicare | $378 |
| Gilsbar | Medicare | $465 |
| Aetna | Commercial | $1,402 |
| UHC | Commercial | $1,937 |
| First_health | Commercial | $2,000 |
| Aetna | Work Comp | $2,002 |
| Cigna | Commercial | $2,145 |
| Ima | Commercial | $2,288 |
| Beech_st | Commercial | $2,428 |
| Workers_comp | Commercial | $2,574 |
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