MRI lower back without contrast at CHI Health St. Elizabeth. CPT 72148.

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

Outpatient / ER

$1,583cash price (self-pay)

$3,166list price

$197–$2,805range 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	$233
Great Plains \| Medicare\|All Plans	$233
Humana \| Medicare\|All Plans	$233
Medica \| Medicare\|All Plans	$233
United \| Medicare\|All Plans	$233
Medica \| Commercial\|ACO	$239
Centene \| Medicare\|All Plans	$240
Amerigroup \| Medicare\|All Plans	$245
Medica \| Commercial\|CHI Health	$384
Medica \| Commercial\|All Other Plans	$402
AMPS \| Commercial\|All Plans	$518
United \| Medicaid\|Community Plan	$728
Centene \| Medicaid\|NE Total Care	$735
Greater Omaha Packing \| Commercial\|Narrow Network	$797
Millard Public Schools \| Commercial\|Narrow Network	$797
One World \| Commercial\|Narrow Network	$797
Greater Omaha Packing \| Commercial\|Broad Network	$917
Millard Public Schools \| Commercial\|Broad Network	$917
One World \| Commercial\|Broad Network	$917
Timpte \| Commercial\|Broad Network	$917
ELAP \| Commercial\|All Plans	$1,805
Medica \| Commercial\|Open Access	$1,963
Midlands Choice \| Commercial\|Premier	$1,963
Midlands Choice \| Commercial\|Standard	$2,185
Creighton University Employees \| Commercial\|All Plans	$2,359
MultiPlan PHCS \| Commercial\|All Plans	$2,691
United \| Commercial\|All Plans	$2,805

$1,583cash price (self-pay)

$3,166list price

$1,963–$2,533range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|Open Access	$1,963
Midlands Choice \| Commercial\|Premier	$1,963
MultiPlan PHCS \| Commercial\|All Plans	$2,533

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