MRI lower back without contrast at Midwest Surgical Hospital. CPT 72148.
What Midwest Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 5, 2026.
Outpatient / ER
$500cash price (self-pay)
$1,835list price
$247–$1,831range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of NE | Medicare Advantage | $247 |
| Humana | Medicare Advantage | $247 |
| Molina- Managed Medicaid | IA | $247 |
| WellCare | Medicare Advantage | $247 |
| Molina | Medicare Advantage | $251 |
| United Healthcare | Commercial | $364 |
| Elite Choice (Methodist) | Commercial | $503 |
| Aetna | Commercial | $576 |
| Oscar | Commercial | $927 |
| Medica | IFB Elevate | $1,556 |
| Medica | Commercial | $1,831 |
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