MRI lower back without contrast at Virginia Gay Hostpital. CPT 72148.
What Virginia Gay Hostpital publishes for this service, straight from its standard-charges file, last updated August 13, 2026.
Outpatient / ER
$1,828cash price (self-pay)
$2,320list price
$216–$2,236range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna HMO/PPO Home Health | Aetna HMO/PPO Home Health | $216 |
| Aetna/Coventry HMO-All Other Plans | Aetna/Coventry HMO-All Other Plan | $216 |
| Amerigroup Medicaid-All Plans | Amerigroup Medicaid-All Plans | $244 |
| UHC Mcr Adv | UHC Mcr Adv | $789 |
| Va Ccn-All Plans | Va Ccn-All Plans | $858 |
| Health Alliance Mcr Adv | Health Alliance Mcr Adv | $905 |
| Wellmark HMO | Wellmark HMO | $983 |
| Iowa Total Care Medicaid-All Plans | Iowa Total Care Medicaid-All Plan | $1,065 |
| Wellmark PPO-All Other Plans | Wellmark PPO-All Other Plans | $1,082 |
| UHC-All Other Plans | UHC-All Other Plans | $1,104 |
| Medical Associates-All Plans | Medical Associates-All Plans | $1,740 |
| Cedar Valley Community Healthcare-All Plans | Cedar Valley Community H | $1,826 |
| Humana PPO/POS/HMO-All Plans | Humana PPO/POS/HMO-All Plans | $1,856 |
| Health Partners-All Plans | Health Partners-All Plans | $1,972 |
| Healthsmart-All Plans | Healthsmart-All Plans | $1,972 |
| Corvel-All Plans | Corvel-All Plans | $2,157 |
| Health Alliance-All Other Plans | Health Alliance-All Other Plans | $2,204 |
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