MRI lower back without contrast at Atrium Health Floyd Polk Medical Center. CPT 72148.
What Atrium Health Floyd Polk Medical Center publishes for this service, straight from its standard-charges file, last updated November 19, 2025.
Outpatient / ER
$1,783cash price (self-pay)
$3,565list price
$414–$3,209range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HMO/Pathway X | $414 |
| Anthem | PPO | $414 |
| Amerigroup | Managed Medicaid | $485 |
| Peach State Health Plan | Managed Medicaid | $489 |
| CareSource | Managed Medicaid | $489 |
| Oscar Health Plan | Commercial | $695 |
| AWC Networks | Commercial | $696 |
| Aetna | Medicare Advantage | $713 |
| CareSource | Medicare Advantage | $713 |
| Cigna | Medicare Advantage | $713 |
| Georgia Assurance | Medicare Advantage | $713 |
| Anthem | Medicare Advantage | $713 |
| Humana | Medicare Advantage | $713 |
| Wellcare | Medicare Advantage | $713 |
| United Healthcare | Medicare Advantage | $713 |
| Alliant Health Plans | SoloCare Commercial | $891 |
| United Healthcare | Commercial | $900 |
| Clover | Medicare Advantage | $927 |
| Cigna | Local Plus Commercial | $950 |
| CareSource | Marketplace Exchange | $1,070 |
| Ambetter | Marketplace Exchange | $1,070 |
| Alliant Health Plans | Simplecare Commercial | $1,120 |
| Humana ChoiceCare | Commercial | $1,604 |
| Cigna | Floyd County and Rome City Commercial | $1,889 |
| Cigna | Commercial | $2,139 |
| Aetna | Commercial | $2,282 |
| Aetna First Health | Commercial | $2,424 |
| Multiplan | Commercial | $2,496 |
| Anthem | Indemnity | $2,663 |
| Private Health Care Systems | Commercial | $3,030 |
Inpatient
$1,783cash price (self-pay)
$3,565list price
$1,248–$3,209range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar Health Plan | Commercial | $1,248 |
| Cigna | Floyd County and Rome City Commercial | $1,889 |
| Multiplan | Commercial | $2,496 |
| Anthem | Indemnity | $2,663 |
| Beech Street | Commercial | $3,209 |
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All common services at Atrium Health Floyd Polk Medical Center