MRI lower back without contrast at Mercy Pediatrics - Carthage. CPT 72148.
What Mercy Pediatrics - Carthage publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$194cash price (self-pay)
$410list price
$46.40–$668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $101 |
| Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag | $101 |
| HUMANA MEDICAID [20486] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $101 |
| Humana Medicaid Contracted [320486] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advanta | $101 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou | $107 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $107 |
| Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med | $107 |
| BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross | $107 |
| Humana Medicare Advantage Contracted [320194] | Pb Sprg/Jopl/Ks Humana | $107 |
| Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea | $111 |
| Humana Contracted [320193] | Pb Jopl Humana/Ppox | $128 |
| United Healthcare Contracted [320396] | Pb Sprg/Jopl United Healthcare | $151 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Alliance Outs | $153 |
| Mc Anthem [20455] | Pb Sprg/Jopl Anthem Alliance Outside Greene County | $153 |
| Healthlink Contracted [320179] | Pb Sprg/Jopl Healthlink | $156 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Pathways X (E | $157 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Preferre | $159 |
| Auxiant Contracted [320462] | Pb Sprg-Jopl Buchheit Dec | $161 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Access | $162 |
| Mc Generic Anthem [20456] | Pb Sprg Jopl Anthem Blue Access | $162 |
| Health Choice Contracted [320166] | Pb Jopl Healthchoice | $165 |
| Home State Health Plan Contracted [320187] | Pb Jopl Homestate/Novasys | $176 |
| Medica [20239] | Pb Sprg-Jopl Medica | $190 |
| Medica Contracted [320239] | Pb Sprg-Jopl Medica | $190 |
| Aetna [20008] | Pb Sprg/Jopl Aetna-Coventry | $198 |
| Aetna Contracted [320008] | Pb Sprg/Jopl Aetna-Coventry | $198 |
| Healthcare Highways Plus Contracted [320175] | Pb Sprg/Jopl Aetna-Cove | $198 |
| INSURANCE SYSTEM INC CONTRACTED [320465] | PB JOPL Health Systems Inc. | $215 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $226 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $226 |
Inpatient
$194cash price (self-pay)
$410list price
$46.40–$668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $101 |
| Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag | $101 |
| HUMANA MEDICAID [20486] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $101 |
| Humana Medicaid Contracted [320486] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advanta | $101 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou | $107 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $107 |
| Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med | $107 |
| BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross | $107 |
| Humana Medicare Advantage Contracted [320194] | Pb Sprg/Jopl/Ks Humana | $107 |
| Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea | $111 |
| Humana Contracted [320193] | Pb Jopl Humana/Ppox | $128 |
| United Healthcare Contracted [320396] | Pb Sprg/Jopl United Healthcare | $151 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Alliance Outs | $153 |
| Mc Anthem [20455] | Pb Sprg/Jopl Anthem Alliance Outside Greene County | $153 |
| Healthlink Contracted [320179] | Pb Sprg/Jopl Healthlink | $156 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Pathways X (E | $157 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Preferre | $159 |
| Auxiant Contracted [320462] | Pb Sprg-Jopl Buchheit Dec | $161 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Access | $162 |
| Mc Generic Anthem [20456] | Pb Sprg Jopl Anthem Blue Access | $162 |
| Health Choice Contracted [320166] | Pb Jopl Healthchoice | $165 |
| Home State Health Plan Contracted [320187] | Pb Jopl Homestate/Novasys | $176 |
| Medica [20239] | Pb Sprg-Jopl Medica | $190 |
| Medica Contracted [320239] | Pb Sprg-Jopl Medica | $190 |
| Aetna [20008] | Pb Sprg/Jopl Aetna-Coventry | $198 |
| Aetna Contracted [320008] | Pb Sprg/Jopl Aetna-Coventry | $198 |
| Healthcare Highways Plus Contracted [320175] | Pb Sprg/Jopl Aetna-Cove | $198 |
| INSURANCE SYSTEM INC CONTRACTED [320465] | PB JOPL Health Systems Inc. | $215 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $226 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $226 |
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