MRI lower back without contrast at Merit Health Wesley. CPT 72148.
What Merit Health Wesley publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,875cash price (self-pay)
$13,689list price
$184–$10,951range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnolia | Magnolia Medicaid | $184 |
| Medicaid | MS Medicaid | $184 |
| Medicaid | MS Medicaid Non Par | $184 |
| United Healthcare | UHC Medicaid MS | $184 |
| Magnolia MCD MS CHIP | Magnolia MCD MS CHIP | $186 |
| Molina Medicaid MS | Molina Medicaid MS | $186 |
| CareSource TrueCare | CareSource TrueCare | $188 |
| Molina CHIP | Molina CHIP | $199 |
| NODE Tricare | NODE Tricare | $205 |
| Veterans Eval Services | Veterans Eval Services | $206 |
| First Choice | NODE First Choice Shared Health of MS MCR ADV | $209 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $213 |
| NODE First Choice American Health MCR ADV | NODE First Choice American | $213 |
| NODE First Choice Aetna MCR ADV | NODE First Choice Aetna MCR ADV | $215 |
| NODE ChampVA | NODE ChampVA | $215 |
| MS Work Comp | MS Work Comp | $261 |
| First Choice | First Choice Occunet | $318 |
| First Choice | First Choice Preferred | $318 |
| Medicaid | AL Medicaid | $333 |
| Molina Exchange | Molina Exchange | $357 |
| First Choice Molina | NODE First Choice Molina Exchange | $360 |
| First Choice LGP | First Choice LGP | $462 |
| United Healthcare | UHC APA | $466 |
| UHC Iex | UHC Iex | $466 |
| Advanced Health Systems | Advanced Health Systems | $486 |
| BCBS | BCBS Ms Fmp | $625 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $1,533 |
| LA Medicaid Non Par | LA Medicaid Non Par | $2,088 |
| CHS Group Health Plan | CHS Group Health Plan | $2,738 |
| Self Pay | Self Pay | $2,875 |
Inpatient
$4,107cash price (self-pay)
$13,689list price
$1,533–$10,951range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $1,533 |
| CHS Group Health Plan | CHS Group Health Plan | $2,738 |
| Self Pay | Self Pay | $4,107 |
| TriMed Billing Solutions | TriMed Billing Solutions LLC | $4,107 |
| First Choice | PHCS | $8,213 |
| First Choice | First Choice Stratose | $10,951 |
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