MRI lower back without contrast at Gundersen Boscobel Area Hospital and Clinic. CPT 72148.
What Gundersen Boscobel Area Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$1,621cash price (self-pay)
$3,148list price
$107–$4,106range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $107 |
| Anthem | Medicaid | $523 |
| Dean Health Plan | Medicaid_Badgercare | $523 |
| Group Health Eau Claire | Medicaid HMO | $523 |
| Group Health of South Central | Medicaid HMO | $523 |
| Iowa Total Care | Medicaid | $523 |
| Managed Health Service | Managed Medicaid | $523 |
| Quartz | Medicaid_Badgercare | $523 |
| Medical Associates | All Products | $938 |
| Alliance | Premier/All Products | $975 |
| Dean Health Plan | All Products | $1,329 |
| Quartz | All Products | $1,332 |
| Quartz | All Other Self Funded | $1,385 |
| Quartz | Self Funded | $1,480 |
| Quartz | Level Funded | $1,527 |
| Anthem | Medicare HMO/PPO | $1,543 |
| Dean Health Plan | Medicare Select | $1,543 |
| Health Partners | Medicare Advantage | $1,543 |
| Humana | Medicare Advantage | $1,543 |
| Medical Associates | Medicare Advantage | $1,543 |
| Quartz | Medicare Advantage | $1,543 |
| Health Partners | Medicaid HMO | $1,574 |
| Quartz | Fully Insured | $1,716 |
| Health Partners | Medicare Cost | $1,889 |
| Cigna | All Products | $2,427 |
| Alliance | Comprehensive/All Products | $2,518 |
| Group Health of South Central | All Products | $2,518 |
| Medical Associates | CAH Specific | $2,518 |
| Trilogy | All Products | $2,518 |
| Aspirus Arise Health | All Products | $2,613 |
Inpatient
$1,621cash price (self-pay)
$3,148list price
$1,332–$3,022range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $1,854 |
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All common services at Gundersen Boscobel Area Hospital and Clinic