MRI lower back without contrast at Wolfson Children's Hospital. CPT 72148.
What Wolfson Children's Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.
Outpatient / ER
$1,853cash price (self-pay)
$2,989list price
$148–$5,861range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup of Georgia | Managed Medicaid OOS | $153 |
| Amerihealth Caritas | Managed Medicaid | $168 |
| Aetna Better Health | Managed Medicaid | $184 |
| Aetna Better Health | Healthy Kids | $184 |
| Community Hospice of Northeast Florida | Medicare Advantage | $242 |
| Aetna | Medicare Advantage | $247 |
| UPMC | Medicare Advantage | $266 |
| Ambetter | Marketplace - All Products | $580 |
| BCBS | My Blue | $790 |
| BCBS | Blue Select | $790 |
| Aetna | Whole Health | $866 |
| Aetna | Whole Health -Child | $866 |
| BCBS | Medicare Advantage | $867 |
| AvMed | Engage & Empower & Entrust | $932 |
| AvMed | Engage & Empower & Entrust - Child | $932 |
| BCBS | HMO | $988 |
| BCBS | Indemnity | $1,036 |
| BCBS | PPO | $1,036 |
| BCBS | Network Blue | $1,036 |
| Centivo | Select | $1,040 |
| AvMed | All Products | $1,099 |
| Aetna | QHP | $1,120 |
| Aetna | Gatekeeper | $1,120 |
| Aetna | Non-Gatekeeper | $1,120 |
| Borland Groover | All Products | $1,196 |
| Cigna | HMO | $1,255 |
| Cigna | Gatekeeper New Business | $1,285 |
| Capital Health Plan | All Products | $1,375 |
| Aetna | SRC and NAP | $1,524 |
| Corvel | Managed WC | $1,539 |
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