MRI lower back without contrast at Marshfield Medical Center Beaver Dam Hospital. CPT 72148.
What Marshfield Medical Center Beaver Dam Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$3,063cash price (self-pay)
$3,224list price
$595–$3,396range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WPS Health Insurance | PPO | $595 |
| UnitedHealth Group of WI | PPO | $1,284 |
| The Alliance | PPO Network/Premier | $1,637 |
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $1,676 |
| Amish/Mennonite | Amish Mennonite | $1,773 |
| Quartz | Broad | $1,838 |
| Security Health Plan (SHP) | Broad | $1,862 |
| Health Payment Systems | PPO Network | $2,244 |
| Cigna | PPO | $2,386 |
| Humana / ChoiceCare | HMO | $2,547 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $2,644 |
| Anthem BCBS of WI | HMO/POS | $2,653 |
| Network Health Plan | HMO | $2,692 |
| First Health | PPO Network | $2,740 |
| Molina Healthcare of WI | HMO | $2,740 |
| Humana / ChoiceCare | PPO | $2,869 |
| Trilogy | PPO | $2,902 |
| Trilogy | Third Party | $2,902 |
| HealthEOS by MultiPlan Inc. | PPO Network | $2,998 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $3,063 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $3,063 |
| Health Partners | PPO | $3,063 |
| Coventry | Workers Comp | $3,095 |
| Anthem BCBS of WI | PPO | $3,396 |
| Anthem BCBS of WI | Traditional | $3,396 |
Inpatient
$3,063cash price (self-pay)
$3,224list price
$1,676–$3,095range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $1,676 |
| Amish/Mennonite | Amish Mennonite | $1,773 |
| Security Health Plan (SHP) | Broad | $1,862 |
| WPS Health Insurance | PPO | $2,170 |
| Cigna | PPO | $2,192 |
| Health Payment Systems | PPO Network | $2,244 |
| Humana / ChoiceCare | HMO | $2,547 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $2,644 |
| Network Health Plan | HMO | $2,692 |
| First Health | PPO Network | $2,740 |
| Molina Healthcare of WI | HMO | $2,740 |
| Humana / ChoiceCare | PPO | $2,869 |
| Trilogy | PPO | $2,902 |
| Trilogy | Third Party | $2,902 |
| HealthEOS by MultiPlan Inc. | PPO Network | $2,998 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $3,063 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $3,063 |
| Health Partners | PPO | $3,063 |
| Coventry | Workers Comp | $3,095 |
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All common services at Marshfield Medical Center Beaver Dam Hospital