MRI lower back without contrast at Franklin Country Memorial Hospital. CPT 72148.
What Franklin Country Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,186cash price (self-pay)
$3,540list price
$493–$3,363range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $493 |
| Blue Cross Blue Shield of Nebraska | PPO | $2,053 |
| Blue Cross Blue Shield of Nebraska | Commercial | $2,053 |
| United Healthcare | PPO | $2,926 |
| United Healthcare | Commercial | $2,926 |
| United Healthcare | HMO | $2,926 |
| Aetna | Medicare Advantage | $3,080 |
| Aetna | Commercial | $3,363 |
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