MRI lower back without contrast at Children's Nebraska. CPT 72148.
What Children's Nebraska publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
—cash price (self-pay)
$5,364list price
$296–$4,720range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Medicaid | Managed Medicaid | $296 |
| Wellpoint | Managed Medicaid | $296 |
| Iowa Medicaid | Total Care | $305 |
| Molina (Iowa) | Managed Medicaid | $306 |
| Ambetter | All Products | $488 |
| Nebraska Medicaid | Community Plan - All Products | $489 |
| Nebraska Medicaid | Managed Medicaid Community Plan | $489 |
| Nebraska Medicaid | Total Care | $504 |
| Molina (Nebraska) | Managed Medicaid | $524 |
| UHC | TNMC - University Regents | $960 |
| UHC | All Products | $1,067 |
| Nebraska Medicaid | Managed Medicaid | $1,663 |
| Midlands Choice CHI | All Products | $3,755 |
| Blue Cross Blue Shield | Select Blue | $3,862 |
| Blue Cross Blue Shield | BluePrint | $4,248 |
| Blue Cross Blue Shield | All Products | $4,291 |
| Midlands Choice Elevate | All Products | $4,291 |
| Avera Health Plan | All Products | $4,559 |
| Centivo | All Products | $4,559 |
| Wellmark | All Products | $4,559 |
| Aetna | All Products | $4,720 |
| Midlands Choice | All Products | $4,720 |
| Sanford Health Plan | All Products | $4,720 |
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