MRI lower back without contrast at Adena Fayette Medical Center. CPT 72148.
What Adena Fayette Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$1,144cash price (self-pay)
$2,289list price
$488–$2,586range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Care Source Just4Me | Commercial | $488 |
| Molina Marketplace | Commercial | $500 |
| Anthem | Medicare Advantage | $595 |
| Medical Mutual of Ohio | Medicare Advantage | $938 |
| Molina | Medicare Advantage/Dual | $938 |
| Medigold | Medicare Advantage | $938 |
| Humana/Choice Care | Medicare Advantage | $938 |
| Buckeye Community Health Plan | Medicare Advantage | $938 |
| Aetna | Medicare Advantage | $938 |
| Care Source | Medicare Advantage | $957 |
| Anthem Pathway | HMO/PPO | $1,103 |
| Anthem | Blue Preferred/Blue Access | $1,391 |
| United Healthcare | Commercial | $1,426 |
| United Medical Resources OHCP | Commercial | $1,439 |
| United Healthcare River Valley | Commercial | $1,439 |
| GEHA UHC Shared Services | Commercial | $1,439 |
| Anthem | Traditional | $1,499 |
| Great West Health Care/Cigna | Commercial | $1,577 |
| Ohio PPO Connect | Commercial | $1,602 |
| The Health Plan | Commercial | $1,602 |
| Medical Mutual of Ohio | Commercial | $1,727 |
| Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred | $1,727 |
| Medical Mutual of Ohio | Traditional Commercial | $1,727 |
| Ohio Health Choice | Commercial | $1,822 |
| First Health | Commercial | $2,000 |
| Aetna (Cofinity/Meritain) | Commercial | $2,000 |
| Sidecar Health | Commercial | $2,586 |
Inpatient
$1,144cash price (self-pay)
$2,289list price
$1,005–$1,822range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Pathway | HMO/PPO | $1,005 |
| Anthem | Blue Preferred/Blue Access | $1,378 |
| United Healthcare | Commercial | $1,426 |
| United Healthcare River Valley | Commercial | $1,439 |
| GEHA UHC Shared Services | Commercial | $1,439 |
| United Medical Resources OHCP | Commercial | $1,439 |
| Anthem | Traditional | $1,485 |
| Great West Health Care/Cigna | Commercial | $1,577 |
| The Health Plan | Commercial | $1,602 |
| Ohio PPO Connect | Commercial | $1,602 |
| Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred | $1,727 |
| Medical Mutual of Ohio | Traditional Commercial | $1,727 |
| Medical Mutual of Ohio | Commercial | $1,727 |
| First Health | Commercial | $1,794 |
| Aetna (Cofinity/Meritain) | Commercial | $1,812 |
| Ohio Health Choice | Commercial | $1,822 |
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