MRI lower back without contrast at Methodist Fremont Hospital. CPT 72148.
What Methodist Fremont Hospital publishes for this service, straight from its standard-charges file, last updated February 16, 2026.
Outpatient / ER
$2,506cash price (self-pay)
$6,774list price
$261–$6,503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare Advantage | $261 |
| BCBS | BCBS Medicare Advantage | $261 |
| Humana | Humana Medicare Advantage | $261 |
| Medica | Medica Medicare Advantage | $261 |
| United Healthcare | UHC Medicare Advantage | $261 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $261 |
| Molina Medicare Advantage | Molina Medicare Advantage | $266 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $540 |
| Elite Choice | Elite Choice | $541 |
| Alliance NHN | Alliance NHN | $1,193 |
| BCBS | BCBS | $1,943 |
| BCBS | BCBS Select | $1,943 |
| Elevate by Medica | Elevate by Medica | $3,048 |
| NE Furniture Mart | NE Furniture Mart | $5,622 |
| United Healthcare | UHC | $5,704 |
| Medica Choice | Medica Choice | $5,961 |
| Multiplan | Multiplan | $6,097 |
| Midlands Choice | Midlands Choice | $6,368 |
| Aetna | Aetna | $6,503 |
Inpatient
$2,506cash price (self-pay)
$6,774list price
$5,622–$6,503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NE Furniture Mart | NE Furniture Mart | $5,622 |
| BCBS | BCBS | $5,758 |
| BCBS | BCBS Select | $5,758 |
| Medica Choice | Medica Choice | $5,961 |
| Multiplan | Multiplan | $6,097 |
| United Healthcare | UHC | $6,103 |
| Midlands Choice | Midlands Choice | $6,368 |
| Aetna | Aetna | $6,503 |
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