MRI lower back without contrast at Wyandot Memorial Hospital. CPT 72148.
What Wyandot Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2024.
Outpatient / ER
$339cash price (self-pay)
$1,577list price
$219–$2,639range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Medicare Advantage | $520 |
| Medical Mutual | Northern Ohio HMO | $915 |
| Aetna | HMO | $1,372 |
| Anthem | PPO & HMO | $1,372 |
| Frontpath Health Coalition | HMO | $1,372 |
| Humana | PPO | $1,372 |
| Medical Mutual | Traditional, SuperMed/HMO | $1,372 |
| OHIO HEALTH CHOICE | Commercial | $1,372 |
| UNITED HEALTHCARE | PPO, Commercial | $1,372 |
| Multiplan | PPO | $1,498 |
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