MRI lower back without contrast at Aurora Medical Center Summit. CPT 72148.
What Aurora Medical Center Summit publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$2,110cash price (self-pay)
$4,220list price
$650–$3,587range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aurora Caregiver | Commercial | $650 |
| Anthem | Blue Priority | $755 |
| United Healthcare | Exchange | $767 |
| United Healthcare | Charter | $773 |
| United Healthcare | Nexus | $773 |
| United Healthcare | HMO | $853 |
| HealthPartners | Employee Trust Fund | $954 |
| Anthem | Blue Preferred | $969 |
| Centivo | Commercial | $1,038 |
| Common Ground | Employee Trust Fund | $1,083 |
| Common Ground | Envision | $1,083 |
| Common Ground | Exchange | $1,083 |
| Aetna | HMO | $1,114 |
| Health Payment Systems | Commercial | $1,170 |
| HealthPartners | Robin | $1,185 |
| Quartz One | Commercial | $1,200 |
| Molina Exchange | Commercial | $1,273 |
| HS Technology | Commercial | $1,350 |
| Quartz Group | Commercial | $1,350 |
| Everpointe Elite | Commercial | $1,352 |
| Trilogy | Commercial | $1,520 |
| Wisconsin Physician Service | Aurora Featured | $1,636 |
| Wisconsin Physician Service | Arise | $1,722 |
| Wisconsin Physician Service | Statewide | $1,722 |
| Health EOS Plus | Commercial | $2,532 |
| Cigna | PPO-GPPO | $2,550 |
| HealthPartners | Broad | $3,165 |
| Health EOS | PPO | $3,376 |
| Aetna | PPO | $3,486 |
| United Healthcare | PPO | $3,553 |
Inpatient
$2,110cash price (self-pay)
$4,220list price
$2,532–$3,587range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $2,532 |
| HealthPartners | Broad | $3,165 |
| Health EOS | PPO | $3,376 |
| Aetna | PPO | $3,486 |
| United Healthcare | PPO | $3,553 |
| Cigna | PPO | $3,570 |
| Anthem | PPO | $3,587 |
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