MRI lower back without contrast at CHI Health Plainview. CPT 72148.
What CHI Health Plainview publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$3,919cash price (self-pay)
$4,665list price
$1,903–$6,317range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $1,903 |
| BCBS - NE | Commercial|All Other Plans | $2,003 |
| BCBS - NE | Medicare|All Plans | $2,846 |
| Humana | Medicare|All Plans | $2,846 |
| Medica | Medicare|All Plans | $2,846 |
| PACE | Medicare|All Plans | $2,846 |
| United | Medicare|All Plans | $2,846 |
| Centene | Medicare|All Plans | $2,903 |
| Todays Options | Medicare|All Plans | $2,903 |
| Amerigroup | Medicare|All Plans | $2,988 |
| Great Plains | Medicare|All Plans | $2,988 |
| Centene | Medicaid|NE Total Care | $3,032 |
| United | Medicaid|Community Plan | $3,032 |
| IAMolina | Medicaid|All Plans | $3,154 |
| Medica | Commercial|All Other Plans | $4,245 |
| Medica | Commercial|CHI Health | $4,245 |
| United | Commercial|All Plans | $4,432 |
| Greater Omaha Packing | Commercial|Broad Network | $4,478 |
| Greater Omaha Packing | Commercial|Narrow Network | $4,478 |
| Medica | Commercial|ACO | $4,478 |
| Medica | Commercial|Open Access | $4,478 |
| Midlands Choice | Commercial|Premier | $4,478 |
| Midlands Choice | Commercial|Standard | $4,478 |
| Millard Public Schools | Commercial|Broad Network | $4,478 |
| Millard Public Schools | Commercial|Narrow Network | $4,478 |
| One World | Commercial|Broad Network | $4,478 |
| One World | Commercial|Narrow Network | $4,478 |
| QuikTrip | Commercial|All Plans | $4,478 |
| Timpte | Commercial|Broad Network | $4,478 |
| MultiPlan | Commercial|All Plans | $4,572 |
Inpatient
$3,919cash price (self-pay)
$4,665list price
$4,210–$4,572range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $4,210 |
| Medica | Commercial|All Other Plans | $4,245 |
| Medica | Commercial|CHI Health | $4,245 |
| BCBS - NE | Commercial|All Other Plans | $4,432 |
| United | Commercial|All Plans | $4,432 |
| Greater Omaha Packing | Commercial|Broad Network | $4,478 |
| Greater Omaha Packing | Commercial|Narrow Network | $4,478 |
| Medica | Commercial|ACO | $4,478 |
| Medica | Commercial|Open Access | $4,478 |
| Midlands Choice | Commercial|Premier | $4,478 |
| Midlands Choice | Commercial|Standard | $4,478 |
| Millard Public Schools | Commercial|Broad Network | $4,478 |
| Millard Public Schools | Commercial|Narrow Network | $4,478 |
| One World | Commercial|Broad Network | $4,478 |
| One World | Commercial|Narrow Network | $4,478 |
| QuikTrip | Commercial|All Plans | $4,478 |
| Timpte | Commercial|Broad Network | $4,478 |
| MultiPlan | Commercial|All Plans | $4,572 |
| PHCS | Commercial|All Plans | $4,572 |
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