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MRI lower back without contrast at Mercy Family Medicine - Magazine. CPT 72148.

What Mercy Family Medicine - Magazine publishes for this service, straight from its standard-charges file, last updated June 12, 2026.

Outpatient / ER

$118cash price (self-pay)
$364list price
$58.50–$301range insurers pay
Insurance planNegotiated rate
Tricare Contracted [320380] | Pb Bnvar Humana Tricare$95.55
United Healthcare Contracted [320396] | Pb Stl UHC Core$158
Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit $197
Administrative Payor [20005] | Pb Mercy Amish/Mennonite$200
Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite$200

Inpatient

$118cash price (self-pay)
$364list price
$58.50–$301range insurers pay
Insurance planNegotiated rate
Tricare Contracted [320380] | Pb Bnvar Humana Tricare$95.55
United Healthcare Contracted [320396] | Pb Stl UHC Core$158
Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit $197
Administrative Payor [20005] | Pb Mercy Amish/Mennonite$200
Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite$200
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