MRI lower back without contrast at Fort HealthCare. CPT 72148.
What Fort HealthCare publishes for this service, straight from its standard-charges file, last updated June 17, 2026.
Outpatient / ER
$1,440cash price (self-pay)
$4,568list price
$69.64–$4,557range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Managed Medicaid | $102 |
| Dean Health Plan | Managed Medicaid | $102 |
| Quartz | Managed Medicaid | $102 |
| United Healthcare | Managed Medicaid | $104 |
| Managed Health Services | Managed Medicaid | $112 |
| Molina | Managed Medicaid | $193 |
| Humana | All Products | $196 |
| United Healthcare | VACCN | $227 |
| United Healthcare | All Products Facility | $232 |
| Anthem | Medicare Advantage | $233 |
| Dean Health Plan | Medicare Advantage | $233 |
| Humana | Medicare Advantage | $233 |
| Molina | Medicare Advantage | $233 |
| Quartz | Medicare Advantage | $233 |
| United Healthcare | Americhoice Medicare | $233 |
| United Healthcare | Medicare Advantage | $233 |
| Veteran Evaluation Services | All Products | $284 |
| Group Health Cooperative | Badgercare | $348 |
| Fort Care | All Products | $643 |
| Centivo | Intermediate | $960 |
| Centivo | Broad | $1,000 |
| Anthem | Blue Priority WI | $1,293 |
| Anthem | All Products | $1,434 |
| Aetna | Medicare Advantage | $1,823 |
| Dean Health Plan | All Products | $1,864 |
| Quartz | All Products | $1,923 |
| Group Health Cooperative | All Products | $2,924 |
| Alliance | All Products | $3,243 |
| MercyCare | All Products | $3,365 |
| Aetna | All Products | $3,389 |
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