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MRI lower back without contrast at HSHS St. Vincent Hospital. CPT 72148.

What HSHS St. Vincent Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.

Outpatient / ER

$2,338cash price (self-pay)
$3,542list price
$55.30–$3,542range insurers pay
Insurance planNegotiated rate
Anthem | Antehm Medicaid$111
Community Care Family Care | Community Care Family Care Medicaid Manag$111
Continuus Medicaid Managed | Continuus Medicaid Managed$111
Managed Health Services | Managed Health Services Medicaid$111
Meridian Health Plan | Meridian HMO Mcd$111
Molina Healthcare | Molina Medicaid$117
Aetna | Aetna Medicare$232
Anthem | Anthem Medicare Advantage HMO$232
Humana | Humana Medicare Advantage$232
Medicare Managed | Managed Medicare No Sequestration$232
Molina Healthcare | Molina Medicare$232
Naphcare | All Commerical Naphcare$521
Anthem | Anthem POS/HMO$1,430
Anthem | Anthem PPO$1,430
P360 Small Group | Prevea 360 Small Group Commercial Plan$1,444
Prevea Health Network | Prevea Employees$1,444
Prevea Health Network | Prevea360$1,444
Prevea Health Network | Prevea360 - Network$1,444
Hshs Employees | Hshs Employees$1,721
Molina Healthcare Of Wi | All Commerical Molina Marketplace$1,771
Aetna | Aetna Hshs$2,288
Humana | Humana Choice Care HMO$2,383
Humana | Humana Natiional POS HMO$2,383
Cigna | All Commercial Cigna$2,479
Health Eos | All Commercial Health Eos$2,515
Healthsmart | All Commercial Healthsmart$2,586
Interplan | All Commercial Interplan Health Group$2,586
Network Health Plan | All Commerical Network Health Plan$2,657
Health Care Alliance | The Alliance$2,975
Multiplan/Phcs | All Commercial Multiplan$2,975
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All common services at HSHS St. Vincent Hospital