MRI lower back without contrast at McLeod Health Clarendon. CPT 72148.
What McLeod Health Clarendon publishes for this service, straight from its standard-charges file, last updated July 20, 2026.
Outpatient / ER
$3,363cash price (self-pay)
$4,737list price
$214–$6,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | DHA | $214 |
| Medicare | Medicare | $226 |
| BCBS | Medicare Advantage | $226 |
| Molina Exchange | Medicare Advantage | $226 |
| UHC | Medicare Advantage | $229 |
| Aetna | Medicare Advantage | $231 |
| Clover | Medicare Advantage | $235 |
| Humana | Medicare Advantage | $235 |
| Molina | Medicare Advantage | $240 |
| Molina MMP | Medicare Advantage | $240 |
| Absolute Total Care MMP | Medicare Advantage | $241 |
| Allwell | Medicare Advantage | $241 |
| Wellcare | Medicare Advantage | $241 |
| AMBetter | Medicare Advantage | $406 |
| BCBS | State | $607 |
| BCBS | Hix | $928 |
| Medicaid | Medicaid | $1,209 |
| BCBS Healthy Blue | Medicaid | $1,209 |
| Asolute Total Care | Medicaid | $1,246 |
| Molina | Medicaid | $1,270 |
| Select Health | Medicaid | $1,270 |
| Promise Health | Commerical | $1,966 |
| BCBS | Preferred | $2,055 |
| BCBS | Choice | $2,220 |
| Aetna | Commercial | $3,790 |
| UHC | Commercial | $4,200 |
| Cigna | Commercial | $6,020 |
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