MRI lower back without contrast at Bronson South Haven Hospital. CPT 72148.
What Bronson South Haven Hospital publishes for this service, straight from its standard-charges file, last updated August 3, 2026.
Outpatient / ER
$203cash price (self-pay)
$2,130list price
$124–$2,326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Priority Health | Choice Medicaid | $124 |
| PHP | Medicaid | $127 |
| BCBS | Complete | $131 |
| Meridian | Medicaid | $131 |
| PACE | Medicare | $226 |
| Aetna | Medicare | $238 |
| BCBS | Mappo | $238 |
| BCN | Medicare Advantage | $238 |
| Health Alliance Plan | Medicare Advantage | $238 |
| Pace | Swmi | $238 |
| PHP | Medicare Advantage | $238 |
| Priority Health | Medicare | $238 |
| Railroad Medicare | Medicare | $238 |
| Uhccp | Dnsp | $238 |
| UHC | Dual Complete DSNP/Medicare Advantage | $238 |
| Humana | Choice PPO Medicare | $238 |
| Mclaren | Medicaid | $238 |
| Mclaren | Medicare | $238 |
| Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advant | $250 |
| Molina | Medicare/Medicaid | $262 |
| PHP | Commercial | $262 |
| MI Amish Medical Board | Commercial | $273 |
| Allen County Amish Medical Aid | Commercial | $297 |
| Amish Plain Church Group | Commercial | $297 |
| UHC | Exchange | $369 |
| Cofinity | Commercial | $1,131 |
| Priority Health | Narrow Network | $1,368 |
| Opus (Opus Packaging Group) | HMA | $1,597 |
| Priority Health | Cigna Priority Health/HMO/PPO/Tiered Network | $1,710 |
| Nomi Health | Commercial | $1,746 |
Inpatient
$1,704cash price (self-pay)
$2,228list price
$1,597–$2,326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Opus (Opus Packaging Group) | HMA | $1,671 |
| Encore Health Key Benefits | Commercial | $1,782 |
| Nomi Health | Commercial | $1,827 |
| BCBS | Trust/PPO | $1,830 |
| BCN | Commercial | $1,830 |
| Multiplan/Beech St/PHCS | Commercial | $1,894 |
| UHC | All Payor (Choice/PPO) + Core | $1,961 |
| Aetna | Commercial | $2,005 |
| Mclaren | Commercial | $2,005 |
| Cofinity | Commercial | $2,094 |
| Asr | Asr | $2,161 |
| Healthscope | Commercial | $2,161 |
| Healthscope | Whirlpool | $2,228 |
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