MRI lower back without contrast at Bellin Health Oconto Hospital. CPT 72148.
What Bellin Health Oconto Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$728cash price (self-pay)
$1,573list price
$119–$1,734range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners | Select | $119 |
| Healthpartners | Focus | $236 |
| Healthpartners | Broad | $255 |
| Chorus Community Health Plan | Managed Medicaid | $339 |
| Anthem | Managed Medicaid | $379 |
| COMMUNITY CARE | Medicare Advantage | $379 |
| COMMUNITY CARE | Managed Medicaid | $379 |
| ICARE | Managed Medicaid | $379 |
| Managed Health Service | Managed Medicaid | $379 |
| Managed Health Service | Medicare Advantage | $379 |
| My Choice | SSI Managed Medicaid | $379 |
| My Choice | Medicare Advantage | $379 |
| Molina Health | Managed Medicaid | $390 |
| My Choice | BadgerChoice Plus Managed Medicaid | $397 |
| Trilogy | Managed Medicaid | $397 |
| Security Health Plan | Medicare Advantage | $456 |
| ANTHEM | Managed Medicare | $535 |
| HUMANA | Medicare Advantage | $535 |
| Network Health | Medicare Advantage | $535 |
| AETNA | Medicare | $787 |
| Common Ground | ALL PRODUCTS | $1,054 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $1,101 |
| Chorus Community Health Plan | ALL PRODUCTS | $1,180 |
| Aspirus Arise | ALL PRODUCTS | $1,196 |
| HEALTHSMART | Medical Rental Network | $1,258 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $1,258 |
| IHS(ClaimsBridge) | Medical Rental Network | $1,258 |
| Medical College of WI | Self-funded employer | $1,258 |
| Multiplan/Healtheos | All Products | $1,258 |
| Allied National | Core Value Programs | $1,337 |
Inpatient
$728cash price (self-pay)
$1,573list price
$456–$1,416range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | ALL PRODUCTS | $1,085 |
| United Health Care | HMO | $1,100 |
| United Health Care | PPO Options | $1,100 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $1,120 |
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