MRI lower back without contrast at Piedmont Fayette. CPT 72148.
What Piedmont Fayette publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$1,711cash price (self-pay)
$5,702list price
$525–$4,847range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AMERIGROUP MEDICAID [20100] | Amerigroup | $525 |
| CARESOURCE MEDICAID [20104] | Caresource Medicaid | $551 |
| PEACH STATE MEDICAID [20101] | Peach State Medicaid | $551 |
| UHC [10700] | United Healthcare | $584 |
| UNITED HEALTHCARE EXCHANGE [11110] | United Healthcare Exchange | $584 |
| CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $683 |
| CIGNA [10200] | Cigna | $955 |
| ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $1,248 |
| AETNA [10100] | Aetna PPO | $2,260 |
| AETNA [10100] | Aetna HMO | $2,260 |
| Phcs [10601] | Phcs | $3,992 |
| FIRST HEALTH [10303] | First Health | $3,992 |
| KAISER [10500] | Kaiser | $4,220 |
| NOVANET [10819] | Novanet | $4,277 |
| BEECHSTREET [10800] | Beechstreet | $4,562 |
| MULTIPLAN [10600] | Multiplan | $4,847 |
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