MRI lower back without contrast at Mercy Hospital Springfield. CPT 72148.
What Mercy Hospital Springfield publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$1,600cash price (self-pay)
$2,462list price
$105–$2,216range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross And Blue Shield [20053] | Hb Sprg Medicare | $105 |
| Medicaid [20240] | Hb Sprg Ok Medicaid | $106 |
| Aetna Medicaid Contracted [320009] | Hb Sprg Ok Medicaid | $106 |
| Kancare [20213] | Hb Cthg Kancare UHC Medicaid | $131 |
| Kancare [20213] | Hb Sprg Aetna Better Health (Kancare) | $131 |
| BCBS Medicaid Contracted [320046] | Hb Sprg Kancare Healthy Blue Medic | $131 |
| Blue Cross And Blue Shield [20053] | Hb Sprg Anthem Pathways Exchange | $144 |
| Mc Anthem [20455] | Hb Sprg Anthem Alliance | $201 |
| Blue Cross And Blue Shield [20053] | Hb Sprg Anthem Alliance | $201 |
| Mo Medicaid Bh Carve Out [320315] | Hb Sprg Mo Medicaid | $206 |
| Medicaid [20240] | Hb Sprg Mo Medicaid | $206 |
| Mc Anthem [20455] | Hb Sprg Anthem Blue Access | $230 |
| Blue Cross And Blue Shield [20053] | Hb Sprg Anthem Blue Access | $230 |
| Mc Generic Anthem [20456] | Hb Sprg Anthem Blue Access | $230 |
| Home State Medicaid [20189] | Hb Sprg Home State Health Plan | $309 |
| Home State Medicaid Contracted [320189] | Hb Sprg Home State Health Pl | $309 |
| BCBS Medicaid [20046] | Hb Sprg Missouri Care Plan/Healthy Blue | $340 |
| BCBS Medicaid Contracted [320046] | Hb Sprg Missouri Care Plan/Healthy | $340 |
| United Healthcare Medicaid Contracted [320397] | Hb Sprg UHC Mo Medica | $350 |
| Novasys Contracted [320285] | Hb Sprg Ambetter Exchange Mo | $355 |
| Sunflower Health Plan Contracted [320369] | Hb Sprg Ambetter Exchange | $355 |
| Home State Health Plan Contracted [320187] | Hb Sprg Ambetter Exchange | $355 |
| United Healthcare Contracted [320396] | Hb Sprg UHC Options PPO | $369 |
| United Healthcare Contracted [320396] | Hb Sprg UHC Individual Exchang | $369 |
| Medicaid [20240] | Hb Sprg/Jopl Ark Medicaid | $432 |
| WORKERS COMP [20426] | HB SPRG Cardinals Work Comp | $460 |
| United Healthcare Contracted [320396] | Hb Sprg UHC All Payer | $518 |
| Aetna [20008] | Hb Sprg Aetna Commercial | $740 |
| Aetna Contracted [320008] | Hb Sprg Aetna Commercial | $740 |
| Healthlink Contracted [320179] | Hb Sprg Jopl Healthlink HMO | $868 |
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