MRI lower back without contrast at lutheran hospital. CPT 72148.
What lutheran hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$1,084cash price (self-pay)
$1,668list price
$0.87–$2,006range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Acop | $0.87 |
| OPTUM | Managed Medicaid Transplant | $199 |
| ANTHEM | Managed Medicaid | $220 |
| Buckeye | Managed Medicaid | $220 |
| MOLINA | Managed Medicaid | $220 |
| HUMANA | Medicare Advantage HMO | $224 |
| MMO | Medicare Advantage HMO | $224 |
| CARESOURCE | Managed Medicaid | $224 |
| Aetna | Medicare Advantage | $226 |
| Anthem | Medicare Advantage | $226 |
| Devoted Health | Medicare Advantage | $226 |
| AMERIHEALTH | Managed Medicaid | $231 |
| MMO | Medicare Advantage PPO | $231 |
| Cigna | Medicare Advantage | $233 |
| CommuniCare | MEDICARE ADVANTAGE | $237 |
| Anthem | PPO/HMO | $411 |
| Cc Ehp | All Products | $564 |
| Aultcare | PPO/HMO | $691 |
| Amish Community Aid Plan | ALL PRODUCTS | $751 |
| Cigna | All Products | $787 |
| Ohcp | All Products | $811 |
| Omas | All Products | $834 |
| Mmo | Nasco | $872 |
| Mmo | Traditional | $872 |
| Ohio Healthy | TRANSPLANT | $901 |
| Healthsmart | All Products | $917 |
| AETNA | Asa_Whirlpool_Peia | $930 |
| Anthem | Traditional | $935 |
| AETNA | International | $1,059 |
| Gms | All Products | $1,168 |
Inpatient
$1,084cash price (self-pay)
$1,668list price
$472–$1,668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $602 |
| Amish Community Aid Plan | ALL PRODUCTS | $834 |
| Anthem | Traditional | $965 |
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