MRI lower back without contrast at Gundersen St. Josephs Hospital and Clinic. CPT 72148.
What Gundersen St. Josephs Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$1,656cash price (self-pay)
$3,148list price
$107–$3,571range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $107 |
| Anthem | Medicaid | $612 |
| Dean Health Plan | Medicaid_Badgercare | $612 |
| Group Health Eau Claire | Medicaid HMO | $612 |
| Group Health of South Central | Medicaid HMO | $612 |
| Iowa Total Care | Medicaid | $612 |
| Quartz | Medicaid_Badgercare | $612 |
| Managed Health Service | Managed Medicaid | $672 |
| 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 | $1,605 |
| Dean Health Plan | Medicare Select | $1,605 |
| Humana | Medicare Advantage | $1,605 |
| Quartz | Medicare Advantage | $1,605 |
| UCARE | Dually Eligible | $1,605 |
| UHC | Medicare Advantage | $1,605 |
| UCARE | MSHO/Minnesota Special Needs | $1,637 |
| UCARE | Non-Dually Eligible | $1,637 |
| Quartz | Fully Insured | $1,716 |
| UHC | All Payer Appendix | $2,200 |
| Cigna | All Products | $2,427 |
| Alliance | Premier/All Products | $2,518 |
| Group Health of South Central | All Products | $2,518 |
| Trilogy | All Products | $2,518 |
| UCARE | Qualified Health Plan | $2,518 |
| Aspirus Arise Health | All Products | $2,613 |
| Allied National | Core Value Programs | $2,676 |
Inpatient
$1,656cash price (self-pay)
$3,148list price
$1,332–$2,991range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $1,854 |
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All common services at Gundersen St. Josephs Hospital and Clinic