MRI lower back without contrast at SSM Health St. Mary's Hospital - Madison. CPT 72148.
What SSM Health St. Mary's Hospital - Madison publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,880cash price (self-pay)
$3,989list price
$174–$1,273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Managed Care Plan | $174 |
| Dean Health Plan | Medicare Managed Care Plan | $232 |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $1,199 |
| BCBS | Anthem Blue Traditional Traditional | $1,273 |
| BCBS | Blue Access PPO | $1,273 |
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All common services at SSM Health St. Mary's Hospital - Madison