MRI lower back without contrast at Rock County Hospital. CPT 72148.
What Rock County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,547cash price (self-pay)
$3,734list price
$493–$3,622range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $493 |
| Oscar | HMO | $493 |
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $1,341 |
| Blue Cross Blue Shield of Nebraska | PPO | $1,916 |
| Blue Cross Blue Shield of Nebraska | Commercial | $2,053 |
| Molina | Commercial | $2,352 |
| Molina | Medicare Advantage | $2,352 |
| United Healthcare | Commercial | $3,312 |
| Nebraska Total Care | Commercial | $3,361 |
| Integrated Health Plan | PPO | $3,547 |
| Interplan Health Group | Commercial | $3,547 |
| Coventry Health Care | Commercial | $3,585 |
| First Health | Commercial | $3,585 |
| Medica | Commercial | $3,585 |
| Mutually Preferred | Commercial | $3,585 |
| MultiPlan | PPO | $3,622 |
| PPO Next | PPO | $3,622 |
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