MRI lower back without contrast at Froedtert Hospital. CPT 72148.
What Froedtert Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$2,703cash price (self-pay)
$5,030list price
$246–$4,351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Advantage | $246 |
| ICare | Medicare Advantage | $246 |
| Molina | Medicare Advantage | $246 |
| Priority Health | Medicare Advantage | $246 |
| Quartz | Medicare Advantage | $246 |
| Security Health Plan | Medicare Advantage | $246 |
| Upper Peninsula Health Plan | Medicare Advantage | $246 |
| Community Care | Medicare Advantage | $246 |
| United Healthcare | Medicare Advantage/Dual | $246 |
| Network Health Plan | Medicare Advantage | $246 |
| Humana Choice | Medicare Advantage | $246 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $246 |
| Aetna | Medicare Advantage | $251 |
| Wellcare | Medicare Advantage | $251 |
| Care Wisconsin/MyChoice | Medicare Advantage | $253 |
| Centivo | WI 2 Median | $1,509 |
| Centivo | WI 1 Broad | $1,660 |
| Medical College of Wisconsin | Employee Plan | $1,660 |
| Network Health Plan | Marketplace Plans | $1,692 |
| United Healthcare | Nexus | $1,732 |
| Network Health Plan | All Contracted Commercial Payers | $1,880 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $1,962 |
| Froedtert South | All Contracted Commercial Plans | $2,012 |
| United Healthcare/United Medical Resources | Choice Plus/Navigate | $2,104 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $2,136 |
| Anthem Blue Cross Blue Shield | Blue Preferred/POS | $2,177 |
| United Healthcare/United Medical Resources | Options PPO | $2,524 |
| Health Partners | All Contracted Commercial Plans | $3,119 |
| Wisconsin Physician Services Statewide Alliance | All Contracted Comme | $3,169 |
| Trilogy | All Contracted Commercial Plans | $3,270 |
Inpatient
$2,703cash price (self-pay)
$5,030list price
$3,195–$4,351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Trilogy | All Contracted Commercial Plans | $3,270 |
| Aetna | All Contracted Commercial Plans | $3,270 |
| Health Payment Systems | All Contracted Commercial Plans | $3,310 |
| Security Health Plan | All Contracted Commercial Plans | $3,955 |
| Group Health Cooperative | All Contracted Commercial Plans | $4,024 |
| HealthEos | All Contracted Commercial Plans | $4,024 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $4,024 |
| Dean Health Plan | All Contracted Commercial Plans | $4,024 |
| HealthSmart | All Contracted Commercial Plans | $4,175 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $4,276 |
| First Health Network | All Contracted Commercial Plans | $4,351 |
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