MRI lower back without contrast at Stephens Memorial Hospital. CPT 72148.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$1,114cash price (self-pay)
$1,591list price
$294–$2,281range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | HMO | $294 |
| Aetna Better Health Medicaid | HMO | $294 |
| Superior Medicaid | HMO | $294 |
| Firstcare Medicaid | HMO | $294 |
| UHC Medicaid Replacement | HMO | $294 |
| Amerigroup Medicaid | HMO | $294 |
| United Healthcare Medicare Advantage | Medicare Advantage | $573 |
| Blue Cross HMO | HMO | $722 |
| Blue Cross PPO/POS | PPO/POS | $876 |
| UHC Contract - HMO/PPO/POS | HMO/PPO/POS | $900 |
| Blue Cross Traditional | Traditional | $921 |
| Blue Advantage HMO | Advantage HMO | $955 |
| Humana Medicare Advantage | Medicare Advantage | $1,078 |
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $1,130 |
| Aetna - HMO/PPO/POS | HMO/PPO/POS | $2,281 |
Inpatient
$1,114cash price (self-pay)
$1,591list price
$1,130–$2,281range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $1,130 |
| Blue Cross PPO/POS | PPO/POS | $1,273 |
| Blue Cross Traditional | Traditional | $1,273 |
| Blue Cross HMO | HMO | $2,281 |
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