MRI lower back without contrast at Emplify Health Behavioral Health. CPT 72148.

What Emplify Health Behavioral Health publishes for this service, straight from its standard-charges file, last updated June 27, 2026.

Outpatient / ER

$608cash price (self-pay)

$1,313list price

$119–$1,431range insurers pay

Insurance plan	Negotiated rate
Healthpartners \| Select	$119
Anthem \| Managed Medicaid	$216
COMMUNITY CARE \| Managed Medicaid	$216
ICARE \| Managed Medicaid	$216
Managed Health Service \| Managed Medicaid	$216
My Choice \| SSI Managed Medicaid	$216
Trilogy \| Managed Medicaid	$216
United Behavioral Health \| Managed Medicaid	$216
Molina Health \| Managed Medicaid	$222
Chorus Community Health Plan \| Managed Medicaid	$227
My Choice \| BadgerChoice Plus Managed Medicaid	$227
Healthpartners \| Focus	$236
ANTHEM \| Managed Medicare	$244
Healthpartners \| Broad	$255
AETNA \| Medicare	$339
COMMUNITY CARE \| Medicare Advantage	$339
HUMANA \| Medicare Advantage	$339
ICARE \| Managed Medicare	$339
Managed Health Service \| Medicare Advantage	$339
My Choice \| Medicare Advantage	$339
Network Health \| Medicare Advantage	$339
Security Health Plan \| Medicare Advantage	$339
Anthem \| Priority	$788
Chorus Community Health Plan \| ALL PRODUCTS	$844
Anthem \| PPO	$880
Anthem \| HMO/POS	$880
Aspirus Arise \| ALL PRODUCTS	$881
Network Health \| ALL PRODUCTS	$945
HPS/Paymedix \| Medical Rental Network Tier 1	$985
Evernorth \| Behavioral Health	$1,050

$608cash price (self-pay)

$1,313list price

$339–$1,182range insurers pay

Insurance plan	Negotiated rate
COMMUNITY CARE \| Medicare Advantage	$738
HUMANA \| Medicare Advantage	$738
Managed Health Service \| Medicare Advantage	$738
Network Health \| Medicare Advantage	$738

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