MRI lower back without contrast at Northcrest Medical Center. CPT 72148.
What Northcrest Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,317cash price (self-pay)
$4,317list price
$302–$3,540range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | MCD | $302 |
| United | AllPayerAppendix | $314 |
| United | Core | $314 |
| United | HeritageSelect | $314 |
| Aetna | COMM | $530 |
| Aetna | NewBusiness | $530 |
| NHC Advantage, Inc. | MCRHMO | $820 |
| United | OptionsPPO | $928 |
| Cigna | PPO | $1,265 |
| United | GlobalBenefitPlan | $1,943 |
| Aetna | NAP | $2,159 |
| City of Springfield | COMM | $2,806 |
| Multiplan | ComplementaryNetwork | $3,367 |
| Multiplan | PrimaryNetwork | $3,540 |
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