MRI lower back without contrast at Prague Regional Memorial Hospital. CPT 72148.
What Prague Regional Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$2,237cash price (self-pay)
$2,237list price
$445–$2,237range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS HMO/Adv PPO | BCBS HMO/Adv PPO | $445 |
| BCBS Native Blue | BCBS Native Blue | $445 |
| BCBS Blue Pref PPO | BCBS Blue Pref PPO | $540 |
| BCBS Blue Choice PPO | BCBS Blue Choice PPO | $636 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $700 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $731 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $1,230 |
| Hch Comm - All Plans | Hch Comm - All Plans | $1,342 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,365 |
| BCBS Mcare Select | BCBS Mcare Select | $1,365 |
| Humana Mcr Adv | Humana Mcr Adv | $1,365 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $1,365 |
| BCBS Mcr Adv | BCBS Mcr Adv | $1,365 |
| UHC Mcr Adv | UHC Mcr Adv | $1,365 |
| Va Ccn - All Plans | Va Ccn - All Plans | $1,365 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $1,678 |
| Cigna - All Plans | Cigna - All Plans | $1,678 |
| Ambetter Exchange - All Plans | Ambetter Exchange - All Plans | $2,183 |
| Aetna Better Hlth | Aetna Better Hlth | $2,237 |
| Humana Mcaid | Humana Mcaid | $2,237 |
| Sonnerselect Mcaid - All Plans | Sonnerselect Mcaid - All Plans | $2,237 |
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