MRI lower back without contrast at Mercy Hospital St Louis. CPT 72148.
What Mercy Hospital St Louis publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$2,141cash price (self-pay)
$3,294list price
$206–$3,294range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Stlo Mo Medicaid | $206 |
| Medicaid Pending [20241] | Hb Stlo Home State Health Plan Managed Medi | $249 |
| Home State Medicaid Contracted [320189] | Hb Stlo Home State Health Pl | $249 |
| United Healthcare Medicaid Contracted [320397] | Hb Stlo UHC Managed M | $268 |
| Aetna Contracted [320008] | Hb Stlo Aetna Commercial New 070123 | $280 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Anthem Pathway/Exchange E | $301 |
| Optum Health Behavioral Solutions [520250] | Hb Stlo UHC HMO PPO All P | $304 |
| Medicaid Pending [20241] | Hb Stlo Missouri Care Health Plan/Healthy B | $321 |
| BCBS Medicaid Contracted [320046] | Hb Stlo Missouri Care Health Plan/ | $321 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Anthem Blue Preferred Eff | $330 |
| Ambetter [20452] | Hb Stlo Wash Jefn Centene Exchange/Ambetter Eff 090 | $349 |
| Home State Health Plan Contracted [320187] | Hb Stlo Wash Jefn Centene | $349 |
| Sunflower Health Plan Contracted [320369] | Hb Stlo Wash Jefn Centene | $349 |
| Mc Anthem [20455] | Hb Stlo Anthem Access Choice PPO | $373 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Anthem Access Choice PPO | $373 |
| Aither Health [20449] | Hb Stlo Samc Shine Solar Dec New 110320 | $401 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Eba - Employer Benefit | $401 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Clayco Dec | $401 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Schaefer Autobody Dec New 0 | $401 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Show Me Benefit Consort | $401 |
| Healthlink Contracted [320179] | Hb Stlo Samc Dec Sapaugh Motors New 0 | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Show Me Ben | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Town And Co | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Quick Trip | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Clayco Dec | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Schaefer Autobo | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Easter Seals De | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc City Of Jackson | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Bartel Communic | $401 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Eba - Emplo | $401 |
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