MRI lower back without contrast at CHI Memorial Hospital - Georgia. CPT 72148.
What CHI Memorial Hospital - Georgia publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$712cash price (self-pay)
$3,606list price
$216–$3,894range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare|All Plans | $216 |
| BCBS - GA | Medicare|BlueCare | $223 |
| Cigna | Medicare|Healthspring | $227 |
| Humana | Medicare|HMO | $229 |
| Amerigroup | Medicare|All Plans | $231 |
| Humana | Medicare|All Other Plans | $238 |
| Employers Health Network | Commercial|All Plans | $304 |
| BCBS - TN | Commercial|Network S | $325 |
| BCBS - GA | Commercial|Pathway | $358 |
| Centene | Commercial|Ambetter Exchange | $370 |
| BCBS - TN | Commercial|Network P | $410 |
| BCBS - GA | Commercial|All Other Plans | $529 |
| BCBS - GA | Commercial|HMO | $529 |
| Peach State | Medicaid|All Plans | $541 |
| Cigna | Commercial|LocalPlus | $561 |
| Cigna | Commercial|Open Access | $561 |
| Amerigroup | Medicaid|All Plans | $685 |
| CareSource | Medicaid|All Plans | $721 |
| Wellcare | Medicaid|All Plans | $721 |
| United | Commercial|Non-Options | $1,181 |
| United | Commercial|Options | $1,181 |
| Alliant Health | Commercial|All Plans | $1,787 |
| Humana | Commercial|All Plans | $2,422 |
| Health One Alliance | Commercial|All Plans | $2,459 |
| Multiplan | Commercial|All Plans | $2,884 |
| Aetna | Commercial|All Other Plans | $2,920 |
| Aetna | Commercial|HMO | $2,920 |
| Aetna | Commercial|PPO | $2,920 |
Inpatient
$712cash price (self-pay)
$3,606list price
$1,947–$3,894range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial|All Other Plans | $2,920 |
| Aetna | Commercial|HMO | $2,920 |
| Aetna | Commercial|PPO | $2,920 |
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