MRI lower back without contrast at CHI Health Lakeside. CPT 72148.

What CHI Health Lakeside publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,425cash price (self-pay)

$3,392list price

$197–$2,883range insurers pay

Insurance plan	Negotiated rate
Amerigroup \| Medicaid\|All Plans	$197
Centene \| Medicaid\|IA Total Care	$197
IAMolina \| Medicaid\|All Plans	$201
BCBS - NE \| Medicare\|All Plans	$236
Humana \| Medicare\|All Plans	$236
Medica \| Medicare\|All Plans	$236
PACE \| Medicare\|All Plans	$236
United \| Medicare\|All Plans	$236
Medica \| Commercial\|ACO	$239
Todays Options \| Medicare\|All Plans	$240
Centene \| Medicare\|All Plans	$243
Amerigroup \| Medicare\|All Plans	$247
Great Plains \| Medicare\|All Plans	$247
Medica \| Commercial\|CHI Health	$384
Creighton University Employees \| Commercial\|All Plans	$393
Medica \| Commercial\|All Other Plans	$402
United \| Commercial\|All Plans	$487
AMPS \| Commercial\|All Plans	$523
Centene \| Medicaid\|NE Total Care	$543
United \| Medicaid\|Community Plan	$543
Greater Omaha Packing \| Commercial\|Narrow Network	$673
Millard Public Schools \| Commercial\|Narrow Network	$673
One World \| Commercial\|Narrow Network	$673
Greater Omaha Packing \| Commercial\|Broad Network	$774
Millard Public Schools \| Commercial\|Broad Network	$774
One World \| Commercial\|Broad Network	$774
Timpte \| Commercial\|Broad Network	$774
ELAP \| Commercial\|All Plans	$950
Medica \| Commercial\|Open Access	$1,764
Midlands Choice \| Commercial\|Premier	$1,764

$1,425cash price (self-pay)

$3,392list price

$2,035–$2,883range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Commercial\|All Plans	$2,035
PHCS \| Commercial\|All Plans	$2,408
MultiPlan \| Commercial\|All Plans	$2,883

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