MRI lower back without contrast at Mercy Pediatrics - Doctors Park. CPT 72148.
What Mercy Pediatrics - Doctors Park publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$133cash price (self-pay)
$177list price
$45.56–$159range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $66.29 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $66.29 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $66.29 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $66.29 |
| Medicaid [20240] | Pb Sprg/Jopl/Cape/Stod Medicaid Mo | $66.80 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Preferred/Pat | $69.98 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $70.11 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $70.11 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Access | $72.23 |
| Home State Medicaid [20189] | Pb Cape/Stod Home State/Centene/Ambetter | $73.48 |
| Home State Medicaid Contracted [320189] | Pb Cape/Stod Home State/Cent | $73.48 |
| BCBS Medicaid [20046] | Pb Cape BCBS Healthy Blue/Missouri Care Medica | $76.82 |
| BCBS Medicaid Contracted [320046] | Pb Cape BCBS Healthy Blue/Missouri | $76.82 |
| Aetna [20008] | Pb Cape Aetna | $86.18 |
| Aetna Contracted [320008] | Pb Cape Aetna | $86.18 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $86.18 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $89.49 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $96.97 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $96.97 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $97.35 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $97.35 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $101 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Consociat | $104 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $108 |
| 90 Degree Benefits Contracted [320436] | Pb Cape Stod Dec Coastal Ener | $109 |
| Ebms Contracted [320493] | Pb Cape Stod Dec Crader Distributing | $109 |
| Aither Health Contracted [320449] | Pb Cape Dec Laclede | $112 |
| Edison Health Solutions Contracted [320502] | Pb Cape Dec Woodard | $112 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Bartel Commnicat | $112 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Easter Seals | $112 |
Inpatient
$133cash price (self-pay)
$177list price
$45.56–$159range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $66.29 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $66.29 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $66.29 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $66.29 |
| Medicaid [20240] | Pb Sprg/Jopl/Cape/Stod Medicaid Mo | $66.80 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Preferred/Pat | $69.98 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $70.11 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $70.11 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Access | $72.23 |
| Home State Medicaid [20189] | Pb Cape/Stod Home State/Centene/Ambetter | $73.48 |
| Home State Medicaid Contracted [320189] | Pb Cape/Stod Home State/Cent | $73.48 |
| BCBS Medicaid [20046] | Pb Cape BCBS Healthy Blue/Missouri Care Medica | $76.82 |
| BCBS Medicaid Contracted [320046] | Pb Cape BCBS Healthy Blue/Missouri | $76.82 |
| Aetna [20008] | Pb Cape Aetna | $86.18 |
| Aetna Contracted [320008] | Pb Cape Aetna | $86.18 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $86.18 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $89.49 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $96.97 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $96.97 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $97.35 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $97.35 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $101 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Consociat | $104 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $108 |
| 90 Degree Benefits Contracted [320436] | Pb Cape Stod Dec Coastal Ener | $109 |
| Ebms Contracted [320493] | Pb Cape Stod Dec Crader Distributing | $109 |
| Aither Health Contracted [320449] | Pb Cape Dec Laclede | $112 |
| Edison Health Solutions Contracted [320502] | Pb Cape Dec Woodard | $112 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Bartel Commnicat | $112 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Easter Seals | $112 |
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