MRI lower back without contrast at Memorial Hospital. CPT 72148.
What Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$2,940cash price (self-pay)
$2,940list price
$1,646–$2,881range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ne Total Care Mcaid-All Plans | Ne Total Care Mcaid-All Plans | $1,646 |
| Molina Mcaid-All Plans | Molina Mcaid-All Plans | $1,646 |
| UHC Mcaid | UHC Mcaid | $1,646 |
| Beshp Mcr Adv - All Plans | Beshp Mcr Adv - All Plans | $1,676 |
| UHC Mcr Adv | UHC Mcr Adv | $1,676 |
| BCBS Mcr Adv | BCBS Mcr Adv | $1,676 |
| Medica Mcare Cost | Medica Mcare Cost | $1,676 |
| Medica Mcr Adv | Medica Mcr Adv | $1,676 |
| Optum Veterans Ccn-All Plans | Optum Veterans Ccn-All Plans | $1,676 |
| Tricare - All Plans | Tricare - All Plans | $1,676 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $1,709 |
| BCBS Select Bluechoice | BCBS Select Bluechoice | $1,858 |
| BCBS Network Blue - All Other Plans | BCBS Network Blue - All Other Pl | $1,954 |
| UHC Comm-All Other Plans | UHC Comm-All Other Plans | $2,764 |
| UHC Exch | UHC Exch | $2,764 |
| Phcs PPO-All Plans | Phcs PPO-All Plans | $2,793 |
| Medica Elevate | Medica Elevate | $2,822 |
| Ambetter Comm - All Plans | Ambetter Comm - All Plans | $2,822 |
| Medica Comm-All Other Plans | Medica Comm-All Other Plans | $2,822 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $2,852 |
| Aetna-All Plans | Aetna-All Plans | $2,881 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.