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MRI lower back without contrast at Aspirus Langlade Hospital. CPT 72148.

What Aspirus Langlade Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$629cash price (self-pay)
$4,536list price
$64.03–$880range insurers pay
Insurance planNegotiated rate
Humana | Humana Medicare Ppo/Pos/Hmo Network Plans$64.03
United Healthcare Of Wisconsin, Inc. | Va Community Care Network$65.34
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons$71.20
United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med$74.41
Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica$75.90
Managed Health Services Insurance Corp. | Managed Health Wisconsin Med$78.13
Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Pl$164
Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans$356
Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos$373
Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl$418
The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A$431
Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos$537
Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo$564
Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog$564
Forest County Potowatomi | Forest County Potowatomi Aspirus Network Pl$697
United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E$728
Cigna | Cigna Ppo And Open Access Plus Benefit Plans$857
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla$880
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All common services at Aspirus Langlade Hospital