MRI lower back without contrast at Valley County Health System. CPT 72148.
What Valley County Health System publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$3,574cash price (self-pay)
$3,971list price
$65.45–$3,892range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $146 |
| Medica | Medicare Advantage | $146 |
| United Healthcare | Medicare Advantage | $146 |
| Humana | Medicare Advantage | $149 |
| Nebraska Total Care | Medicare Advantage/Dual Needs Plan/MMP Plan | $151 |
| WellCare | Medicare Advantage/Dual Needs Plan | $151 |
| Aetna | Medicare Advantage | $153 |
| Great Plains | Medicare Advantage | $153 |
| Medica | Individual and Family Business Plans | $281 |
| Blue Cross Blue Shield of Nebraska | Commercial | $288 |
| Medica | Commercial Plans/Care System Products | $296 |
| Nebraska Total Care | Managed Medicaid | $450 |
| United Healthcare Community Plan | Managed Medicaid | $450 |
| Molina | Managed Medicaid/CHIP | $454 |
| Molina | Dual Eligible Plan | $463 |
| Multiplan/PHCS | Primary/Complementary PPO | $472 |
Inpatient
$3,574cash price (self-pay)
$3,971list price
$3,614–$3,892range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Individual and Family Business Plans | $3,614 |
| Blue Cross Blue Shield of Nebraska | Commercial | $3,812 |
| Medica | Commercial Plans/Care System Products | $3,812 |
| Multiplan/PHCS | Primary/Complementary PPO | $3,892 |
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