MRI lower back without contrast at Mercy Hospital Lebanon. CPT 72148.
What Mercy Hospital Lebanon publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$2,277cash price (self-pay)
$3,503list price
$104–$3,328range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Health Medicare Contracted [320500] | Hb Lebn Devoted Health M | $104 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Sprg & Lebn Wellc | $242 |
| Nhc Advantage Medicare Contracted [320282] | Hb Sprg Nhc Advantage Mcr | $246 |
| Globalhealth Contracted [320145] | Hb Lebn Medicare | $251 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Lebn Medicare | $251 |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB LEBN HUMANA MCR New | $251 |
| Mercy Hospice Okc [20252] | Hb Lebn Medicare | $251 |
| Medicare [20244] | Hb Lebn Medicare | $251 |
| Kindful Hospice [20434] | Hb Lebn Medicare | $251 |
| Elara Caring Aspire Hospice [20433] | Hb Lebn Medicare | $251 |
| Halo Hcr Inc Hospice [20432] | Hb Lebn Medicare | $251 |
| Aetna Medicare Advantage Contracted [320010] | Hb Lebn Medicare | $251 |
| BCBS Medicare Advantage Contracted [320047] | Hb Lebn Medicare | $251 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Lebn Medicare | $251 |
| Cigna Medicare Advantage Contracted [320072] | Hb Lebn Medicare | $251 |
| BCBS Medicare Advantage [20047] | Hb Lebn Medicare | $251 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Lebn Medicare | $251 |
| Essence Healthcare Medicare Contracted [320122] | Hb Lebn Medicare | $251 |
| Champva [20065] | Hb Lebn Medicare | $251 |
| Cross Timbers Hospice [20098] | Hb Lebn Medicare | $251 |
| Pace Of The Ozarks Contracted [320518] | Hb Lebn Medicare | $251 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Lebn Medicare | $251 |
| Acentra Health Contracted [320527] | Hb Lebn Medicare | $251 |
| Medica Medicare Advantage Contracted [320477] | Hb Lebn Medicare | $251 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Leb | $251 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Lebn Medicare | $251 |
| Qual Choice Contracted [320325] | Hb Lebn Medicare | $251 |
| United Healthcare Contracted [320396] | Hb Lebn Medicare | $251 |
| Tricare Contracted [320380] | Hb Lebn Tricare | $251 |
| Provider Partners Health Plans Contracted [320450] | Hb Lebn Medicare | $251 |
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