MRI lower back without contrast at Adena Pike Medical Center. CPT 72148.
What Adena Pike 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–$2,174range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Marketplace | Commercial | $488 |
| Care Source Just4Me | Commercial | $488 |
| Molina | Medicare Advantage | $549 |
| Humana | Medicare Advantage | $549 |
| Medigold | Medicare Advantage | $549 |
| Medical Mutual of Ohio | Medicare Advantage | $549 |
| Buckeye Community Health Plan | Medicare Advantage | $549 |
| Aetna | Medicare Advantage | $549 |
| Care Source | Medicare Advantage | $560 |
| Anthem | Medicare Advantage | $709 |
| Gateway Health | Commercial | $755 |
| Anthem Ohio Exchange | PPO | $1,508 |
| Anthem Ohio Exchange | HMO | $1,508 |
| Sidecar Health | Commercial | $1,510 |
| The Health Plan | Commercial | $1,602 |
| Ohio PPO Connect | Commercial | $1,602 |
| Medical Mutual of Ohio SuperMed | Commercial | $1,642 |
| Medical Mutual of Ohio | Managed Care | $1,642 |
| Great West Health Care/Cigna | Commercial | $1,657 |
| Anthem | Traditional | $1,696 |
| Ohio Health Choice | Commercial | $1,822 |
| United Healthcare | All Plans | $1,918 |
| Anthem Pathway | HMO/PPO | $1,975 |
| First Health | Commercial | $2,000 |
| Aetna (Cofinity/Meritain) | Commercial | $2,000 |
| Integrated Health Plan | Commercial | $2,151 |
| HealthSmart | Emerald Commercial Products | $2,174 |
| Multiplan/Private Healthcare Systems | Commercial | $2,174 |
| Three Rivers Network | Commercial | $2,174 |
Inpatient
$1,144cash price (self-pay)
$2,289list price
$1,451–$2,174range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | HMO | $1,451 |
| Anthem Ohio Exchange | PPO | $1,451 |
| Ohio PPO Connect | Commercial | $1,602 |
| The Health Plan | Commercial | $1,602 |
| Medical Mutual of Ohio | Managed Care | $1,642 |
| Medical Mutual of Ohio SuperMed | Commercial | $1,642 |
| Great West Health Care/Cigna | Commercial | $1,657 |
| Anthem | Traditional | $1,696 |
| First Health | Commercial | $1,794 |
| Ohio Health Choice | Commercial | $1,822 |
| Aetna (Cofinity/Meritain) | Commercial | $1,863 |
| Anthem Pathway | HMO/PPO | $1,922 |
| Integrated Health Plan | Commercial | $2,151 |
| Three Rivers Network | Commercial | $2,174 |
| Multiplan/Private Healthcare Systems | Commercial | $2,174 |
| HealthSmart | Emerald Commercial Products | $2,174 |
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