Scan my bill

MRI lower back without contrast at Henry Ford Providence Novi Hospital. CPT 72148.

What Henry Ford Providence Novi Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$1,347cash price (self-pay)
$2,406list price
$137–$506range insurers pay
Insurance planNegotiated rate
Blue Caid Michigan | 1266_sjpk,Sjpr Medicaid Replacement Blue Caid Of $137
Great Lakes- UHC Community Plan | 1247_sjpk,Sjpr Medicaid Replacement $137
Harbor Health Mcd | 1240_sjpk Medicaid Repleacement Harbor Health Outp$137
Health Plan Of Mi Medicaid HMO | 1262_sjpk,Sjpr Medicaid Replacement M$137
Medicaid | 1263_sjpk,Sjpr Mi Medicaid Outpatient 20250101$137
Medicaid Replacement | 1241_sjpk Medicaid HMO Outpatient 20250101$137
Molina Health | 1264_sjpk,Sjpr Medicaid Replacement Molina Health Outp$137
Omnicare Medicaid HMO | 1239_sjpk Medicaid Repleacement Omnicare Outpa$137
Total Health Care | 1246_sjpk,Sjpr Medicaid Replacement Total Health C$137
Jvhl - Medicaid Replacement | 1245_sjpk,Sjpr Medicaid Replacement HMO $141
Molina Health | 1081_sjpk,Sjpr Medicaid Replacement Molina Health Inpa$144
Health Plan Of Mi Medicaid HMO | 1083_sjpk,Sjpr Meridian Health Inpati$144
Jvhl - Medicaid Replacement | 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie$144
Priority PPO | 1105_sjpk,Sjpr Priority PPO 20210801$149
Priority Health HMO | 1104_sjpk,Sjpr Priority HMO 20210701$175
Amerihealth Vip Care Mcr | 1254_sjpk,Sjpr Medicare Advantage Ameriheal$204
Aetna Medicare | 1255_sjpk,Sjpr Medicare Advantage Aetna Outpatient 20$237
Auto Insurance | 1257_sjpk,Sjpr Auto Insurance Outpatient 20250101$237
Jvhl - Mcr Replacement | 1251_sjpk,Sjpr Medicare Advantage Jvhl Outpat$237
Mcr Replacement | 1253_sjpk,Sjpr Medicare Advantage HMO Outpatient 202$237
Humana Mcr | 1252_sjpk,Sjpr Medicare Advantage Humana Outpatient 20250$239
Meridian Wellcare | 1250_sjpk,Sjpr Medicare Advantage Meridian Wellcar$249
Molina Advantage | 1249_sjpk,Sjpr Medicare Advantage Molina Outpatient$249
Bc Metro Detroit EPO | 1139_sjpk Blue Cross Blue Shield Metro Detroit $249
Bc Metro Detroit HMO | 1141_sjpk Blue Cross Blue Shield Metro Detroit $263
Bcn Local Network Southeast | 1149_sjpk Blue Cross Blue Shield Bcn Loc$274
Blue Care Network | 1143_sjpk Blue Cross Blue Shield Bcn 20220401$274
Blue Cross PPO | 1145_sjpk Blue Cross Blue Shield PPO 20220401$274
Blue Cross Traditional | 1147_sjpk Blue Cross Blue Shield Of Michigan $274
Meridian Ambetter | 1258_sjpk,Sjpr Meridian Ambetter Outpatient 202501$296

Inpatient

—cash price (self-pay)
—list price
$137–$327range insurers pay
Insurance planNegotiated rate
Amerihealth Vip Care Mcr | 1174_sjpk,Sjpr Medicare Advantage Ameriheal$234
Aetna Medicare | 1171_sjpk,Sjpr Medicare Advantage Aetna Inpatient 202$237
Auto Insurance | 1219_sjpk,Sjpr Auto Insurance Inpatient 20241001$237
Health Plan Of Mi Medicaid HMO | 1083_sjpk,Sjpr Meridian Health Inpati$237
Jvhl - Mcr Replacement | 1180_sjpk,Sjpr Medicare Advantage Jvhl Inpati$237
Jvhl - Medicaid Replacement | 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie$237
Mcr Replacement | 1183_sjpk,Sjpr Medicare Advantage HMO Inpatient 2024$237
Veterans Choice | 1230_va Optum Health Inpatient 20241001$237
Humana Mcr | 1177_sjpk,Sjpr Medicare Advantage Humana Inpatient 202410$239
Meridian Wellcare | 1189_sjpk,Sjpr Medicare Advantage Meridian Wellcar$249
Molina Advantage | 1192_sjpk,Sjpr Medicare Advantage Molina Inpatient $249
Meridian Ambetter | 1221_sjpk,Sjpr Meridian Ambetter Inpatient 2024100$296
Molina Marketplace | 1223_sjpk,Sjpr Molina Marketplace Inpatient 20241$296
Smart Health | 1227_sjpk,Sjpr Smart Health Inpatient 20241001$327
Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.

Scan my bill

All common services at Henry Ford Providence Novi Hospital