MRI lower back without contrast at Bates County Memorial Hospital. CPT 72148.
What Bates County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 20, 2026.
Outpatient / ER
$142cash price (self-pay)
$2,148list price
$65.96–$3,479range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Home State Health Plan | Managed Medicaid | $66.80 |
| Healthy Blue | Managed Medicaid | $73.48 |
| United Healthcare | Managed Medicaid | $73.48 |
| Aetna | Medicare Advantage | $139 |
| Blue Cross Blue Shield | Medicare Advantage | $139 |
| Centene-Ambetter | Marketplace | $139 |
| Cigna | Medicare Advantage | $139 |
| Humana/Choice Care | Commercial | $139 |
| Humana/Choice Care | Medicare Advantage | $139 |
| United Healthcare | Medicare Advantage | $139 |
| Aetna | Commercial | $1,826 |
| Blue Cross Blue Shield | All PPO Plans | $1,826 |
| Blue Cross Blue Shield | Participating/Traditional | $1,826 |
| Cigna | Commercial | $1,826 |
| United Healthcare | Commercial | $1,826 |
Inpatient
$2,865cash price (self-pay)
$4,093list price
$3,479–$3,479range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $3,479 |
| Blue Cross Blue Shield | All PPO Plans | $3,479 |
| Blue Cross Blue Shield | Participating/Traditional | $3,479 |
| Cigna | Commercial | $3,479 |
| United Healthcare | Commercial | $3,479 |
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