MRI lower back without contrast at Boys Town National Research Hospital. CPT 72148.
What Boys Town National Research Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$2,429cash price (self-pay)
$3,036list price
$204–$2,945range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Ia Medicaid | $204 |
| Molina Of Nebraska | Managed Medicaid | $489 |
| Nebraska Total Care | Managed Medicaid | $489 |
| UHC | Community Medicaid | $489 |
| Medica | Chi Health Network | $1,097 |
| Medica | All Products | $1,097 |
| Nfm Paramount | Ne Med Employee Plan | $1,460 |
| Elap Omaha Firefighters | All Products | $1,670 |
| UHC | All Products | $1,734 |
| Aetna | All Products | $2,247 |
| First Health | All Products | $2,247 |
| Methodist | All Products | $2,277 |
| BCBS | All Products | $2,429 |
| Health Partners | All Products | $2,429 |
| Medica | Ifb Network | $2,429 |
| Midlands Choice | All Products | $2,429 |
| Nfm Paramount | Nfm Plan | $2,429 |
| Phcs-Multiplan | All Products | $2,429 |
| BCBS | Wellmark | $2,581 |
| BCBS | Blue Select | $2,945 |
| BCBS | Blueprint | $2,945 |
Inpatient
$2,429cash price (self-pay)
$3,036list price
$1,670–$2,945range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Phcs-Multiplan | All Products | $2,581 |
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