MRI lower back without contrast at West Holt Memorial Hospital. CPT 72148.
What West Holt Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,273cash price (self-pay)
$4,091list price
$273–$3,846range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $273 |
| United Healthcare | Commercial | $328 |
| DHHS | Medicaid Membership | $1,964 |
| BCBS | Commercial | $2,053 |
| Ambetter | Commercial | $2,086 |
| Molina | Commercial | $2,250 |
| United Healthcare | Midlands Choice | $2,414 |
| BCBS | Network Blue | $3,273 |
| Medica | Commercial | $3,723 |
| Aetna | Commercial | $3,846 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.