MRI lower back without contrast at Great Plains Health. CPT 72148.
What Great Plains Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$156cash price (self-pay)
$1,939list price
$72.00–$3,437range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Commercial | $667 |
| Nebraska Total Care | Medicare Advantage | $952 |
| Molina | Medicare Advantage | $1,038 |
| Midwest Network Alliance | Owner | $1,590 |
| Midwest Network Alliance | Non-Owner | $1,646 |
| Blue Cross and Blue Shield of Nebraska | Commercial | $1,671 |
| Medica | Commercial | $1,752 |
| Midlands Choice | Commercial | $1,801 |
| Oscar Health | Midlands Premier | $1,804 |
| Coventry | HMO | $1,823 |
| GEHA | Commercial | $1,823 |
| Coventry | PPO | $1,842 |
| Mutual of Omaha | Commercial | $1,842 |
| United Health Care | Commercial | $1,883 |
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