MRI lower back without contrast at Mercy Hospital Southeast. CPT 72148.
What Mercy Hospital Southeast publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$2,332cash price (self-pay)
$3,588list price
$158–$3,409range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Cape Mo Medicaid | $206 |
| Acentra Health Contracted [320527] | Hb Cape Medicare And 100% Managed | $234 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Cape Medicare | $234 |
| Tricare Contracted [320380] | Hb Cape Tricare | $234 |
| Pace Of The Ozarks Contracted [320518] | Hb Cape Medicare And 100% Man | $234 |
| Kindful Hospice Contracted [320434] | Hb Cape Medicare And 100% Manage | $234 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Cape Medicare And | $234 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Cape Medicare And 100% M | $234 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Medicare And | $234 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Home State M | $234 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Cape UHC | $234 |
| Humana Medicare Advantage Contracted [320194] | Hb Cape Humana Medicar | $234 |
| Kindful Hospice [20434] | Hb Cape Medicare And 100% Managed Medicare | $234 |
| American Health Advantage Of Mo Mcr HMO Contracted [320264] | Hb Cape | $241 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Wellcare Ky | $246 |
| Medicaid Pending [20241] | Hb Cape Home State Managed Medicaid | $274 |
| Home State Medicaid Contracted [320189] | Hb Cape Home State Managed M | $274 |
| Home State Health Plan Contracted [320187] | Hb Cape Home State Ambett | $303 |
| United Healthcare Medicaid Contracted [320397] | Hb Cape UHC Managed M | $309 |
| United Healthcare Contracted [320396] | Hb Cape Dec Rates Ip 150% Op 1 | $352 |
| Medicaid Pending [20241] | Hb Cape Missouri Care Health Plan/Healthy B | $371 |
| BCBS Medicaid Contracted [320046] | Hb Cape Missouri Care Health Plan/ | $371 |
| Centivo Contracted [320505] | Hb Cape Centivo 165% Medicare New 110124 | $394 |
| Mercy Benefit Admin Contracted [320251] | Hb Cape City Of Jackson Dec | $394 |
| Healthlink Contracted [320179] | Hb Cape Schaefer Electrical Dec 165% | $394 |
| Consociate Consolidated Health Contracted [320490] | Hb Cape Dec Conso | $410 |
| Preferred Health Plan Contracted [320522] | Hb Cape City Of Cape Dec 1 | $418 |
| Healthlink Contracted [320179] | Hb Cape Dec Consociate Ip 225% Op 225 | $528 |
| United Healthcare Contracted [320396] | Hb Cape UHC Exchange | $574 |
| Healthlink Contracted [320179] | Hb Cape Healthlink State Of Illinois | $746 |
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