MRI lower back without contrast at Mercy Specialty Hospital - Southeast Kansas. CPT 72148.
What Mercy Specialty Hospital - Southeast Kansas publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$1,279cash price (self-pay)
$1,968list price
$106–$1,870range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicaid Contracted [320486] | Hb Seks Ok Medicaid | $106 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Seks Ok Med | $106 |
| Aetna Medicaid Contracted [320009] | Hb Seks Ok Medicaid | $106 |
| Medicaid [20240] | Hb Seks Ok Medicaid | $106 |
| Provider Partners Health Plans Contracted [320450] | Hb Seks Provider | $116 |
| BCBS Medicaid Contracted [320046] | Hb Seks Medicaid Kancare | $131 |
| Kancare Contracted [320213] | Hb Seks Medicaid Kancare | $131 |
| Kancare Contracted [320213] | Hb Seks UHC Ks Medicaid | $131 |
| First Health Contracted [320128] | Hb Seks Aetna Commercial/Firsthealt | $174 |
| Aetna Contracted [320008] | Hb Seks Aetna Commercial/Firsthealth | $174 |
| United Healthcare Medicaid Contracted [320397] | Hb Seks UHC Mo Medica | $206 |
| BCBS Medicaid Contracted [320046] | Hb Seks Healthy Blue Mo Medicaid | $206 |
| Home State Medicaid Contracted [320189] | Hb Seks Home State Mo Medica | $206 |
| Medicaid [20240] | Hb Seks Mo Medicaid | $206 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Seks Mgd Medic | $245 |
| Tricare Contracted [320380] | Hb Seks Tricare | $245 |
| Sunflower Health Plan Contracted [320369] | Hb Seks Mgd Medicare | $245 |
| Qual Choice Contracted [320325] | Hb Seks Mgd Medicare | $245 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Seks Mgd Medicare | $245 |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SEKS HUMANA MCR New | $250 |
| Optum Health Behavioral Solutions [520250] | Hb Seks UHC | $276 |
| United Medical Resources Contracted [320454] | Hb Seks UHC | $276 |
| United Healthcare Contracted [320396] | Hb Seks UHC | $276 |
| United Healthcare Contracted [320396] | Hb Seks UHC Exchange | $276 |
| Medicaid [20240] | Hb Seks Ark Medicaid | $432 |
| Mc Anthem [20455] | Hb Seks Blue Cross Choice | $536 |
| Mc Generic Anthem [20456] | Hb Seks Blue Cross Choice | $536 |
| Blue Cross And Blue Shield [20053] | Hb Seks Blue Cross Choice | $536 |
| Insurance System Inc Contracted [320465] | Hb Seks Dec Health Systems | $558 |
| United Medical Resources Contracted [320454] | Hb Seks Dec Liberty Uti | $558 |
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All common services at Mercy Specialty Hospital - Southeast Kansas