MRI lower back without contrast at CHI Health St. Francis. CPT 72148.
What CHI Health St. Francis publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,413cash price (self-pay)
$4,090list price
$197–$3,845range 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 | $232 |
| Humana | Medicare|All Plans | $232 |
| Medica | Medicare|All Plans | $232 |
| United | Medicare|All Plans | $232 |
| Centene | Medicare|All Plans | $239 |
| Medica | Commercial|ACO | $239 |
| Amerigroup | Medicare|All Plans | $243 |
| Great Plains | Medicare|All Plans | $243 |
| Medica | Commercial|CHI Health | $384 |
| Medica | Commercial|All Other Plans | $402 |
| AMPS | Commercial|All Plans | $515 |
| United | Medicaid|Community Plan | $941 |
| Centene | Medicaid|NE Total Care | $950 |
| Greater Omaha Packing | Commercial|Narrow Network | $1,029 |
| Millard Public Schools | Commercial|Narrow Network | $1,029 |
| One World | Commercial|Narrow Network | $1,029 |
| Greater Omaha Packing | Commercial|Broad Network | $1,184 |
| Millard Public Schools | Commercial|Broad Network | $1,184 |
| One World | Commercial|Broad Network | $1,184 |
| Timpte | Commercial|Broad Network | $1,184 |
| Creighton University Employees | Commercial|All Plans | $2,250 |
| United | Commercial|All Plans | $2,577 |
| ELAP | Commercial|All Plans | $2,618 |
| Medica | Commercial|Open Access | $3,395 |
| Midlands Choice | Commercial|Premier | $3,395 |
| Midlands Choice | Commercial|Standard | $3,845 |
| MultiPlan PHCS | Commercial|All Plans | $3,845 |
Inpatient
$2,413cash price (self-pay)
$4,090list price
$2,250–$3,845range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $2,250 |
| United | Commercial|All Plans | $3,272 |
| Medica | Commercial|Open Access | $3,395 |
| Midlands Choice | Commercial|Premier | $3,395 |
| Midlands Choice | Commercial|Standard | $3,845 |
| MultiPlan PHCS | Commercial|All Plans | $3,845 |
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