MRI lower back without contrast at Saint Luke’s North Hospital – Smithville. CPT 72148.
What Saint Luke’s North Hospital – Smithville publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$3,853cash price (self-pay)
$6,422list price
$131–$6,422range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $191 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $263 |
| Aetna [5000] | Aetna Local [50005] | $265 |
| Aetna [5000] | Aetna Meritain Local [50015] | $265 |
| Aetna [5000] | Aetna Meritain National [50001] | $265 |
| Aetna [5000] | Aetna National [50006] | $265 |
| Aetna [5000] | Aetna Signature Misc PPO [50010] | $265 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2905 [50002] | $265 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2920 [50000] | $265 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $463 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $481 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $481 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $492 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $545 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $545 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care Blue PPO [400 | $545 |
| Cigna [7000] | Cigna Bjc Flex Or HDHP [70017] | $583 |
| Cigna [7000] | Cigna [70002] | $870 |
| Cigna [7000] | Cigna Healthpartners [70012] | $870 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $870 |
| Cigna [7000] | Greatwest Cigna Open Access Plus [70005] | $870 |
| Blue Cross Blue Shield [4000] | Zzzbc Preferred Care Blue Slhs [40027] | $956 |
| Cigna [7000] | Cigna Indemnity [70004] | $1,061 |
| Blue Cross Blue Shield [4000] | Freedom Network Select [40021] | $2,890 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Healthlink PPO | $2,890 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Php [40001] | $2,890 |
| Blue Cross Blue Shield [4000] | Zzzfreedom Network Select Cerner [4000 | $2,890 |
| Blue Cross Blue Shield [4000] | Freedom Network Healthlink [40019] | $4,097 |
| Blue Cross Blue Shield [4000] | Freedom Network Php [40002] | $4,097 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $4,226 |
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All common services at Saint Luke’s North Hospital – Smithville