MRI lower back without contrast at CHI Health St. Mary's. CPT 72148.
What CHI Health St. Mary's publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$3,117cash price (self-pay)
$3,755list price
$804–$3,605range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $804 |
| IAMolina | Medicaid|All Plans | $820 |
| BCBS - NE | Medicare|All Plans | $1,502 |
| Humana | Medicare|All Plans | $1,502 |
| Medica | Medicare|All Plans | $1,502 |
| PACE | Medicare|All Plans | $1,502 |
| United | Medicare|All Plans | $1,502 |
| Centene | Medicare|All Plans | $1,532 |
| Centene | Medicaid|NE Total Care | $1,540 |
| United | Medicaid|Community Plan | $1,540 |
| Amerigroup | Medicare|All Plans | $1,577 |
| Great Plains | Medicare|All Plans | $1,577 |
| BCBS - NE | Commercial|BluePrint | $1,903 |
| BCBS - NE | Commercial|All Other Plans | $2,003 |
| AMPS | Commercial|All Plans | $3,334 |
| Medica | Commercial|All Other Plans | $3,417 |
| Medica | Commercial|CHI Health | $3,417 |
| MultiPlan PHCS | Commercial|All Plans | $3,567 |
| Greater Omaha Packing | Commercial|Broad Network | $3,605 |
| Greater Omaha Packing | Commercial|Narrow Network | $3,605 |
| Medica | Commercial|ACO | $3,605 |
| Medica | Commercial|Open Access | $3,605 |
| Midlands Choice | Commercial|Premier | $3,605 |
| Midlands Choice | Commercial|Standard | $3,605 |
| Millard Public Schools | Commercial|Broad Network | $3,605 |
| Millard Public Schools | Commercial|Narrow Network | $3,605 |
| One World | Commercial|Broad Network | $3,605 |
| One World | Commercial|Narrow Network | $3,605 |
| Timpte | Commercial|Broad Network | $3,605 |
| United | Commercial|All Plans | $3,605 |
Inpatient
$3,117cash price (self-pay)
$3,755list price
$3,389–$3,605range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $3,389 |
| Medica | Commercial|All Other Plans | $3,417 |
| Medica | Commercial|CHI Health | $3,417 |
| BCBS - NE | Commercial|All Other Plans | $3,567 |
| MultiPlan PHCS | Commercial|All Plans | $3,567 |
| Greater Omaha Packing | Commercial|Broad Network | $3,605 |
| Greater Omaha Packing | Commercial|Narrow Network | $3,605 |
| Medica | Commercial|ACO | $3,605 |
| Medica | Commercial|Open Access | $3,605 |
| Midlands Choice | Commercial|Premier | $3,605 |
| Midlands Choice | Commercial|Standard | $3,605 |
| Millard Public Schools | Commercial|Broad Network | $3,605 |
| Millard Public Schools | Commercial|Narrow Network | $3,605 |
| One World | Commercial|Broad Network | $3,605 |
| One World | Commercial|Narrow Network | $3,605 |
| Timpte | Commercial|Broad Network | $3,605 |
| United | Commercial|All Plans | $3,605 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.