MRI lower back without contrast at OrthoNebraska. CPT 72148.
What OrthoNebraska publishes for this service, straight from its standard-charges file, last updated December 27, 2025.
Outpatient / ER
—cash price (self-pay)
$3,315list price
$41.90–$5,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid | $68.48 |
| Aetna | All Products | $103 |
| BCBS Network Blue | Medicare Advantage | $236 |
| Humana | Medicare Advantage | $236 |
| United Healthcare | Medicare Advantage | $236 |
| United Healthcare | Aarp Medicare Supplement | $236 |
| Paramount Group - Wellcare | Medicare Advantage | $238 |
| Immanuel Pathways | All Products | $240 |
| Allied | National Global | $306 |
| Allied | Insurance IL | $306 |
| Carrum Health | All Products | $342 |
| BCBS Network Blue | Bluecard | $351 |
| Total Care | Medicaid | $351 |
| United Healthcare | Medicaid | $351 |
| United Healthcare | Americhoice | $351 |
| Ambetter | Commercial-Exchange | $353 |
| Carrum Health | Vflex | $353 |
| Carrum Health | Voluntary Model | $353 |
| Partners Health Alliance | Medicare Advantage | $500 |
| Paramount Group - Ambetter | Medicare Advantage | $525 |
| Midlands Choice | Cigna Nfm | $600 |
| BCBS Of Nebraska Select | All Products | $720 |
| Midlands Choice | Medica | $1,243 |
| Optum Health | All Products | $1,658 |
| Midwest Network | All Products | $1,856 |
| BCBS Wellmark Blue | All Products | $2,088 |
| Self Pay | Self Pay | $2,155 |
| Humana | Choicecare | $2,652 |
| Multiplan | Pho | $2,984 |
| United Healthcare | Exchange Plans | $3,149 |
Inpatient
—cash price (self-pay)
$3,315list price
$1,658–$5,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Optum Health | All Products | $2,155 |
| BCBS Wellmark Blue | All Products | $2,221 |
| Humana | Choicecare | $2,818 |
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