MRI lower back without contrast at Ste Genevieve County Memorial Hospital. CPT 72148.
What Ste Genevieve County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 19, 2026.
Outpatient / ER
$80.00cash price (self-pay)
$1,737list price
$40.00–$3,382range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $255 |
| Homestate | Medicaid | $265 |
| Healthy_blue | Medicaid | $306 |
| Uhc_community | Medicaid | $306 |
| Bcbs_medicare | Medicare | $434 |
| Uhc_medicare | Medicare | $434 |
| Va | Medicare | $434 |
| Aetna_medicare | Medicare | $443 |
| Allwell | Medicare | $443 |
| Pphp | Medicare | $499 |
| Ambetter | Medicare | $543 |
| UHC | Commercial | $1,054 |
| Healthlink_hmo | Commercial | $1,129 |
| Bcbs_traditional | Commercial | $1,176 |
| Healthlink_compmanagement | Commercial | $1,204 |
| Healthlink_ppo | Commercial | $1,204 |
| Umr | Commercial | $1,280 |
| Aetna | Commercial | $1,337 |
| Meritain | Commercial | $1,337 |
| Multiplan/Phcs | Commercial | $1,476 |
| Cigna | Commercial | $2,717 |
| Bcbs_blue_access_choice | Commercial | $3,157 |
| Bcbs_blue_preferred | Commercial | $3,157 |
| Bcbs_pathway | Commercial | $3,157 |
| Bcbs_pathway_x | Commercial | $3,157 |
| Bcbs_blue_access | Commercial | $3,382 |
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All common services at Ste Genevieve County Memorial Hospital