MRI lower back without contrast at Mercy Hospital Ardmore. CPT 72148.
What Mercy Hospital Ardmore publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$2,766cash price (self-pay)
$4,256list price
$106–$4,256range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid Contracted [320009] | Hb Ardm Ok Medicaid (Soonercare) | $106 |
| Medicaid [20240] | Hb Ardm Ok Medicaid (Soonercare) | $106 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ardm Ok Med | $106 |
| Humana Medicaid Contracted [320486] | Hb Ardm Ok Medicaid (Soonercare) | $106 |
| Provider Partners Health Plans Contracted [320450] | Hb Ardm Medicare/ | $241 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Ardm UHC | $241 |
| Kindful Hospice Contracted [320434] | Hb Ardm Medicare/Mgd Medicare 10 | $241 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Ardm Medicare/Mgd | $241 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Ardm Medicare/Mgd Medica | $241 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Ardm Medicare/Mgd | $241 |
| Tricare Contracted [320380] | Hb Ardm Medicare/Mgd Medicare 100% | $241 |
| Nhc Advantage Medicare Contracted [320282] | Hb Ardm Medicare/Mgd Medi | $241 |
| Tribute Health Plan Mcr Contracted [320338] | Hb Ardm Medicare/Mgd Med | $241 |
| Qual Choice Contracted [320325] | Hb Ardm Medicare/Mgd Medicare 100% | $241 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ard | $241 |
| Mc Generic Anthem [20456] | Hb Ardm Blue Choice | $244 |
| Mc Anthem [20455] | Hb Ardm Blue Choice | $244 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Choice | $244 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Cross Advantage PPO | $244 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Cross Preferred | $244 |
| Medica Medicare Advantage Contracted [320477] | Hb Ardm Medica Medicar | $246 |
| Globalhealth Contracted [320145] | Hb Ardm Global Health Mcr 102% | $246 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ardm Cigna Mc | $248 |
| Devoted Health Medicare Contracted [320500] | Hb Ardm Devoted Health M | $256 |
| Administrative Payor Contracted [320005] | Hb Ardm Mdsave | $320 |
| Ambetter Contracted [320452] | Hb Ardm Ambetter Exchange Medicare | $332 |
| Novasys Contracted [320285] | Hb Ardm Ambetter Exchange Medicare | $332 |
| Sunflower Health Plan Contracted [320369] | Hb Ardm Ambetter Exchange | $332 |
| Home State Health Plan Contracted [320187] | Hb Ardm Ambetter Exchange | $332 |
| Centivo Contracted [320505] | Hb Ardm Centivo Mcr 165% | $406 |
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