MRI lower back without contrast at Jackson County Memorial Hospital. CPT 72148.
What Jackson County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$3,568cash price (self-pay)
$3,568list price
$246–$3,390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Medicare Advantage | $246 |
| Humana | Medicare Advantage | $246 |
| Humana | Veteran Services Project Hero | $246 |
| Blue Cross Blue Shield Of Oklahoma | Blue Advantage | $745 |
| Blue Cross Blue Shield Of Oklahoma | Blue Choice | $745 |
| Blue Cross Blue Shield Of Oklahoma | Blue Lincs | $745 |
| Blue Cross Blue Shield Of Oklahoma | Blue Preferred | $745 |
| Blue Cross Blue Shield Of Oklahoma | Blue Traditional | $745 |
| Healthcare Highways | Sync PPO | $2,141 |
| United Healthcare | PPO | $2,426 |
| Oklahoma Health Network (OHN) | PPO | $2,498 |
| Coventry | PPO | $2,640 |
| Coventry | First Health PPO | $2,854 |
| Phcs | Multiplan Savility PPO | $2,854 |
| Aetna | Gatekeeper | $2,961 |
| Aetna | Non Gatekeeper | $3,033 |
| Cigna | PPO | $3,033 |
| Phcs | Multiplan PPO | $3,211 |
| Preferred Community Choice | PPO | $3,211 |
| Humana | PPO | $3,390 |
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