MRI lower back without contrast at Heartland Long Term Acute Hospital. CPT 72148.
What Heartland Long Term Acute Hospital publishes for this service, straight from its standard-charges file, last updated June 23, 2026.
Outpatient / ER
$1,275cash price (self-pay)
$2,000list price
$57.89–$4,450range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna of Kansas | Managed Medicaid | $186 |
| Sunflower of Kansas | Managed Medicaid | $186 |
| United Healthcare of Kansas | Managed Medicaid | $186 |
| United Healthcare | Commercial | $214 |
| Blue Cross HMO | Commercial | $236 |
| Blue Cross PCB | Commercial | $236 |
| Aetna | Medicare Advantage | $244 |
| Blue Cross Blue Shield | Medicare Advantage | $244 |
| United Healthcare | Medicare Advantage | $244 |
| Blue Cross PC | Commercial | $253 |
| Amerigroup of Iowa | Managed Medicaid | $422 |
| Iowa Total Care | Managed Medicaid | $422 |
| Molina of Iowa | Managed Medicaid | $422 |
| Ambetter | Commercial | $463 |
| Aetna | Commercial | $1,241 |
| Centurion | Commercial | $1,400 |
| Multiplan | Commercial | $1,587 |
| GEHA Shared Services | Commercial | $1,624 |
| Freedom Select Healthlink | Commercial | $1,717 |
| Healthlink Open Access | Commercial | $1,717 |
| Preferred Health Professional | Commercial | $1,717 |
| Sisco | Commercial | $1,717 |
| Cigna | Commercial | $1,760 |
| United Healthcare of Missouri | Managed Medicaid | $2,820 |
| Home State of Missouri | Managed Medicaid | $2,900 |
| Healthy Blue of Missouri | Managed Medicaid | $3,560 |
Inpatient
$1,275cash price (self-pay)
$2,000list price
$600–$2,250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $800 |
| Blue Cross HMO | Commercial | $1,512 |
| Blue Cross PCB | Commercial | $1,512 |
| GEHA Shared Services | Commercial | $1,624 |
| United Healthcare | Commercial | $1,624 |
| Aetna | Commercial | $1,654 |
| Freedom Select Healthlink | Commercial | $1,717 |
| Healthlink Open Access | Commercial | $1,717 |
| Preferred Health Professional | Commercial | $1,717 |
| Sisco | Commercial | $1,717 |
| Blue Cross PC | Commercial | $1,736 |
| Cigna | Commercial | $1,760 |
| Multiplan | Commercial | $1,800 |
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