MRI lower back without contrast at Liberty Hospital. CPT 72148.
What Liberty Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
$977cash price (self-pay)
$3,504list price
$72.95–$2,859range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Freedom Network | $134 |
| Blue Cross Blue Shield | Freedom Network Select | $134 |
| Blue Cross Blue Shield | Blue Select Plus | $227 |
| Blue Cross Blue Shield | PAR Traditional | $227 |
| Blue Cross Blue Shield | Preferred Care Blue ACA | $227 |
| United Healthcare | Choice Plus | $227 |
| United Healthcare | HMO | $227 |
| United Healthcare | PPO | $227 |
| Healthy Blue | Healthy Blue Medicaid | $233 |
| Aetna | Medicare Advantage | $239 |
| Blue Cross Blue Shield | Blue Care | $239 |
| Blue Cross Blue Shield | Blue Select/Blue Select Plus - ACA | $239 |
| United Healthcare | Medicare Advantage | $239 |
| AllWell Medicare Advantage | Medicare Advantage | $241 |
| Humana | Medicare Advantage | $244 |
| UHC Community Plan of MO | UHC Community Plan Medicaid | $245 |
| PPHP Medicare Advantage | Medicare Advantage | $263 |
| Ambetter Health | Ambetter ACA | $304 |
| Home State Health | Home State Medicaid | $319 |
| Centivo | Nebraska Furniture Mart | $413 |
| Cigna | Cigna Local Plus | $454 |
| Cigna | HMO | $547 |
| Cigna | Open Access | $547 |
| Cigna | PPO | $547 |
| 6 Degrees Health | 6 Degrees Health | $568 |
| Aetna | Aetna Select | $978 |
| Aetna | Choice POS II | $978 |
| Aetna | HMO | $978 |
| Aetna | KC Network Plus | $978 |
| Aetna | Open Access | $978 |
Inpatient
$977cash price (self-pay)
$3,504list price
$978–$2,859range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Select | $978 |
| Aetna | Choice POS II | $978 |
| Aetna | HMO | $978 |
| Aetna | KC Network Plus | $978 |
| Aetna | Open Access | $978 |
| Aetna | Open Choice | $978 |
| Aetna | PPO | $978 |
| Allied National | Freedom Advantage | $2,102 |
| Blue Cross Blue Shield | Freedom Network Select | $2,467 |
| QuikTrip | QuikTrip | $2,803 |
| Blue Cross Blue Shield | Freedom Network | $2,859 |
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