MRI lower back without contrast at Marshfield Medical Center Rice Lake Hospital. CPT 72148.
What Marshfield Medical Center Rice Lake Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$1,978cash price (self-pay)
$2,082list price
$863–$2,040range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem BCBS of WI | HMO/POS | $863 |
| Anthem BCBS of WI | PPO | $949 |
| Anthem BCBS of WI | Traditional | $978 |
| Family Health Center (FHC) | Prepaid Health Svcs | $1,041 |
| Amish/Mennonite | Amish Mennonite | $1,145 |
| Sanford Health Plan | Commercial | $1,145 |
| UnitedHealth Group of WI | PPO | $1,329 |
| Security Health Plan (SHP) | SimplyOne Region 3 | $1,487 |
| Security Health Plan (SHP) | SimplyOne Region 2 | $1,635 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,707 |
| Molina Healthcare of WI | HMO | $1,770 |
| Security Health Plan (SHP) | SimplyOne Region 1 | $1,781 |
| The Alliance | Premier SAS | $1,810 |
| Security Health Plan (SHP) | SimplyOne QHP | $1,835 |
| The Alliance | Premier | $1,866 |
| Security Health Plan (SHP) | SimplyOne Region 4 | $1,870 |
| Security Health Plan (SHP) | EPO | $1,931 |
| The Alliance | Exception Members | $1,978 |
| The Alliance | PPO Network | $1,978 |
| Besse Forest Products | Direct Employer | $1,978 |
| Cigna | PPO | $1,978 |
| CORVEL | Third Party | $1,978 |
| First Health | PPO Network | $1,978 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,978 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $1,978 |
| Health Partners | PPO | $1,978 |
| Rice Lake School District | Direct Employer | $1,978 |
| Medica of WI | Medica Care System | $1,988 |
| Trilogy | Commercial | $1,988 |
| Coventry | Workers Comp | $1,999 |
Inpatient
$1,978cash price (self-pay)
$2,082list price
$1,145–$2,040range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amish/Mennonite | Amish Mennonite | $1,145 |
| Sanford Health Plan | Commercial | $1,145 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,707 |
| UnitedHealth Group of WI | PPO | $1,716 |
| Molina Healthcare of WI | HMO | $1,770 |
| The Alliance | PPO Network | $1,967 |
| The Alliance | Exception Members | $1,978 |
| Besse Forest Products | Direct Employer | $1,978 |
| Cigna | PPO | $1,978 |
| CORVEL | Third Party | $1,978 |
| First Health | PPO Network | $1,978 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,978 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $1,978 |
| Health Partners | PPO | $1,978 |
| Rice Lake School District | Direct Employer | $1,978 |
| Medica of WI | Medica Care System | $1,988 |
| Trilogy | Commercial | $1,988 |
| Coventry | Workers Comp | $1,999 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $1,999 |
| Health Smart | PPO Network | $1,999 |
| Trilogy | Third Party | $1,999 |
| Rising Medical Work Comp | Workers Comp | $2,020 |
| Medica of WI | Medica Choice/Medica Health Plan Solutions/Medica Ind. | $2,028 |
| WPS Health Insurance | PPO/Select 65+ | $2,030 |
| Three Rivers Provider Network (TRPN) | Commercial | $2,040 |
| Three Rivers Provider Network (TRPN) | Third Party | $2,040 |
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All common services at Marshfield Medical Center Rice Lake Hospital