MRI lower back without contrast at Novant Health Clemmons Medical Center. CPT 72148.
What Novant Health Clemmons Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$1,193cash price (self-pay)
$2,340list price
$231–$2,611range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross NC | Blue Medicare | $231 |
| Aetna | Medicare | $237 |
| Cigna | HealthSpring | $238 |
| BCBSFL | Advantage65 | $399 |
| BCBSFL | BlueCare | $399 |
| BCBSFL | BlueMedicare HMO | $399 |
| BCBSFL | BlueMedicare PPO | $399 |
| BCBSFL | BlueSelect | $399 |
| Bcbsfl | HMO | $399 |
| Carolina Complete | Medicaid | $435 |
| AmeriHealth | Medicaid | $443 |
| Blue Cross NC | Healthy Blue Medicaid | $443 |
| 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 |
| Cigna | ACA | $906 |
| Caresource North Carolina | Qualified Health Plan | $936 |
| Blue Cross NC | Blue Home | $1,221 |
| Blue Cross NC | Blue Value | $1,264 |
| Atlantic Corporation DBA Atlantic Packaging | All Plans | $1,322 |
| Cigna | Commercial | $1,390 |
| Aetna | Commercial | $1,441 |
| AMPS | All Plans | $1,521 |
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All common services at Novant Health Clemmons Medical Center