MRI lower back without contrast at Novant Health Ballantyne Medical Center. CPT 72148.
What Novant Health Ballantyne Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$232–$464range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross NC | Blue Medicare | $232 |
| Humana | Medicare | $232 |
| Pace of the Southern Piedmont | All Plans | $232 |
| United Healthcare | Medicare | $232 |
| Aetna | Medicare | $238 |
| Cigna | HealthSpring | $239 |
| Liberty Health | Medicare HMO | $243 |
| BCBSFL | Advantage65 | $399 |
| BCBSFL | BlueCare | $399 |
| BCBSFL | BlueMedicare HMO | $399 |
| BCBSFL | BlueMedicare PPO | $399 |
| BCBSFL | BlueSelect | $399 |
| Bcbsfl | HMO | $399 |
| BCBSFL | BlueOptions | $451 |
| BCBSFL | CoverFL | $451 |
| BCBSFL | GoBlue | $451 |
| BCBSFL | NetworkBlue | $451 |
| BCBSFL | BlueChoice | $463 |
| BCBSFL | Essential Network | $463 |
| Bcbsfl | Fep | $463 |
| Bcbsfl | Ppc | $463 |
| Bcbsfl | PPO | $463 |
| BCBSFL | Traditional (PPSPHS) | $463 |
| NC Department of Public Safety | Offenders Not Medicaid eligible | $464 |
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All common services at Novant Health Ballantyne Medical Center