MRI lower back without contrast at Chilton Medical Center. CPT 72148.
What Chilton Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$323cash price (self-pay)
$9,385list price
$228–$9,385range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carisk Worker'S Comp [5501] | Cmc Carisk Imaging | $260 |
| Aarp Medicare Comp [5039] | Cmc United Medicare | $280 |
| Aetna Ahs Employee [5306] | Cmc Aetna Ahs Employee | $280 |
| Aetna Assure Premier Plus [5422] | Cmc Aetna Medicare | $280 |
| Aetna Assure Premier Plus Ip Splits [5466] | Cmc Aetna Medicare | $280 |
| Aetna Mcare Supplemental [5041] | Cmc Aetna Medicare | $280 |
| Aetna Medicare [5003] | Cmc Aetna Nnj Prime | $280 |
| Aetna Medicare [5003] | Cmc Aetna Medicare | $280 |
| Aetna Medicare Ip Splits [5470] | Cmc Aetna Medicare | $280 |
| Ambetter [5432] | Cmc Ambetter Wellcare Of Nj | $280 |
| Amerihealth Administrators Supplemental [5512] | Cmc Amerihealth Medic | $280 |
| Amerihealth Medigap [5049] | Cmc Amerihealth Medicare | $280 |
| Anthem Bcbsny Medicare [5312] | Cmc Horizon Braven | $280 |
| Anthem Bcbsny Medicare Ip Splits [5476] | Cmc Horizon Braven | $280 |
| Anthem Medicare Pffs [5052] | Cmc Horizon Braven | $280 |
| Anthem Medicare Pffs Ip Splits [5474] | Cmc Horizon Braven | $280 |
| Champva [5354] | Cmc Tricare Contract | $280 |
| Amerihealth Caritas Vip Care [5313] | Cmc Amerihealth Caritas | $283 |
| Amerihealth Caritas Vip Care Ip Splits [5460] | Cmc Amerihealth Carita | $283 |
| Apwu Healthcare [5053] | United Non-Tertiary | $376 |
| Aetna Centrastate Employee [5425] | Cmc Aetna Htc | $393 |
| Aetna [5002] | Cmc Aetna Htc | $393 |
| Anthem Bcbsny HMO PPO POS [5310] | Cmc Horizon Commercial | $472 |
| Anthem Bcbsny Indemnity [5311] | Cmc Horizon Commercial | $472 |
| Aetna [5002] | Cmc Aetna Whole Health | $549 |
| Centivo [5405] | Cmc Centivo Health Plan | $575 |
| Cigna Great West [5305] | Cmc Cigna Oap | $587 |
| Cigna [5012] | Cmc Cigna Oap | $587 |
| Cigna Health Partners [5342] | Cmc Cigna Oap | $587 |
| Allied Benefit Systems [5046] | Cmc Cigna PPO | $646 |
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