MRI lower back without contrast at Elkview General Hospital. CPT 72148.
What Elkview General Hospital publishes for this service, straight from its standard-charges file, last updated July 22, 2026.
Outpatient / ER
$1,363cash price (self-pay)
$2,272list price
$101–$2,045range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health OK | Medicaid Replacement | $101 |
| Humana Healthy Horizons MCD Rep | Medicaid Replacement | $101 |
| Medicaid Oklahoma | Default | $101 |
| Medicare B OK JH | Default | $172 |
| Medicare A OK JH | Default | $237 |
| UHC Group Medicare Advantage | Medicare Advantage | $239 |
| United Healthcare | Default | $1,615 |
| Aetna | Default | $2,045 |
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