MRI lower back without contrast at Franciscan Healthcare. CPT 72148.
What Franciscan Healthcare publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$5,871cash price (self-pay)
$5,871list price
$74.95–$5,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $169 |
| Humana | Medicare Advantage | $169 |
| Medica | Medicare Advantage | $169 |
| Nebraska Total Care | Medicare Products | $172 |
| Aetna | Medicare Advantage | $177 |
| Good Samaritan Insurance Plan of Nebraska | Medicare Advantage | $177 |
| Molina Healthcare of Nebraska | Medicare Advantage | $177 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $1,954 |
| Nebraska Total Care | Managed Medicaid | $2,231 |
| United Healthcare of the Midlands | Community Plan | $2,231 |
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $2,290 |
| Medica | Commercial Products | $5,343 |
| Aetna Coventry | HMO | $5,636 |
| Medica | Individual and Family Business Products-Care System Products | $5,636 |
| Midlands Choice | All Plans | $5,636 |
| United Healthcare | All Commercial Plans | $5,636 |
Inpatient
$5,871cash price (self-pay)
$5,871list price
$2,936–$5,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $2,936 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $5,577 |
| Aetna Coventry | HMO | $5,636 |
| Midlands Choice | All Plans | $5,636 |
| United Healthcare | All Commercial Plans | $5,636 |
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