MRI lower back without contrast at Banner Churchill Community Hospital. CPT 72148.
What Banner Churchill Community Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$1,918cash price (self-pay)
$3,625list price
$943–$3,516range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $943 |
| Optum | Medicare | $1,160 |
| Banner Health | Banner Choice Plus/Banner Select | $1,269 |
| SilverSummit Healthplan | Medicare Advantage | $1,269 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $1,269 |
| Humana | Medicare Advantage | $1,345 |
| Hometown Health | HMO | $3,263 |
| Hometown Health | PPO/EPO | $3,263 |
| SilverSummit Healthplan | Commercial Exchange | $3,263 |
| United Healthcare | Commercial | $3,263 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $3,335 |
| Aetna | Medical Rental Products | $3,408 |
| Multiplan | Commercial | $3,408 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $3,422 |
| Hometown Health | Lease Networks | $3,444 |
| Coventry | Commercial | $3,480 |
| Coventry | Workers Comp | $3,480 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $3,516 |
Inpatient
$1,918cash price (self-pay)
$3,625list price
$3,263–$3,516range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hometown Health | HMO | $3,263 |
| Hometown Health | PPO/EPO | $3,263 |
| SilverSummit Healthplan | Commercial Exchange | $3,263 |
| United Healthcare | Commercial | $3,263 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $3,335 |
| Multiplan | Commercial | $3,408 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $3,422 |
| Hometown Health | Lease Networks | $3,444 |
| Coventry | Commercial | $3,480 |
| Coventry | Workers Comp | $3,480 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $3,516 |
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