MRI lower back without contrast at Hillcrest Hospital Henryetta. CPT 72148.
What Hillcrest Hospital Henryetta publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$1,544cash price (self-pay)
$5,146list price
$101–$5,146range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Black Lung [6055] | Black Lung [605500] | $1,287 |
| Lucent Health [6000] | Lucent Health [600000] | $1,287 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $2,820 |
| Pba [1775] | Professional Benefit Admin [177500] | $2,820 |
| Healthpartners [1500] | Healthpartners [150000] | $2,820 |
| Cigna [1260] | Cigna [126008] | $2,820 |
| Global Health [1430] | Global Health Commercial [143000] | $3,191 |
| Multiplan [1680] | Providence Health Plan [168004] | $3,489 |
| First Health [1375] | Benveo/Ucs [137512] | $3,489 |
| Healthcare Solutions [1485] | Healthcare Solutions Group [148500] | $3,654 |
| Healthsmart [1505] | Healthsmart Benefit Solutions [150503] | $4,374 |
| Pending Ssi [1616] | Pending Ssi Rca [161601] | $5,146 |
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