MRI lower back without contrast at Mount Carmel Dublin Hospital. CPT 72148.
What Mount Carmel Dublin Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,236cash price (self-pay)
$1,902list price
$202–$1,904range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medigold Medicare Advantage | Medigold Medicare Advantage | $202 |
| Blue Cross - Oh (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $225 |
| Medical Mutual Medicare | Medical Mutual Medicare Advantage | $230 |
| Caresource Medicare | Caresource Medicare Advantage | $237 |
| Universal Medicare | Universal Medicare Advantage | $242 |
| Western & Southern Financial Group | Medical Mutual Supermed PPO POS H | $779 |
| Aetna | Aetna Asa Meritain | $854 |
| Health Choices | Cofinity | $888 |
| Sisco Benefits | Cofinity | $888 |
| Liberty Union Life Assurance Co | Cofinity | $888 |
| Group Pension Administrators | Cofinity | $888 |
| Preferred One | Cofinity | $888 |
| Insight | Cofinity | $888 |
| Group Marketing Services | Cofinity | $888 |
| Auxiant | Cofinity | $888 |
| Varipro | Cofinity | $888 |
| Painters Union Insurance Fund | Cofinity | $888 |
| Amerihealth | Cofinity | $888 |
| American National | Cofinity | $888 |
| Trustmark Small Business Benefits | Cofinity | $888 |
| Forest County Potawatomi | Cofinity | $888 |
| Nippon Life Ins | Cofinity | $888 |
| Continental Life Insurance | Cofinity | $888 |
| Access Health | Cofinity | $888 |
| U Of M Health Plan | Cofinity | $888 |
| Humana | Humana One | $972 |
| Humana | Choice Care Humana | $972 |
| First Health | Aetna First Health | $1,002 |
| United Healthcare | United Healthcare Exchange | $1,152 |
| Healthlink Inc | Healthlink | $1,427 |
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