MRI lower back without contrast at Holzer Medical Center - Gallipolis. CPT 72148.
What Holzer Medical Center - Gallipolis publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,192cash price (self-pay)
$2,384list price
$226–$2,289range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ohio Medicare | Traditional | $226 |
| Aetna Medicare | PPO | $226 |
| Aetna Medicare | HMO | $226 |
| Anthem Medicare | HMO | $226 |
| Caresource Exchange | HMO | $316 |
| Anthem Exchange | Pathway X HMO | $1,194 |
| Anthem Exchange | Pathway X PPO | $1,256 |
| Anthem | Blue Access | $1,354 |
| Anthem | Blue Preferred | $1,354 |
| Anthem | Blue Traditional | $1,385 |
| Aetna | PPO | $1,550 |
| Aetna | HMO | $1,550 |
| Aetna | POS | $1,550 |
| Aetna | First Health | $1,550 |
| Cigna | PPO | $1,550 |
| United Healthcare | PPO | $1,550 |
| United Healthcare | POS | $1,550 |
| Medben | Direct Agreement | $1,550 |
| Association Benefit Solutions | Direct Agreement | $1,788 |
| Healthsmart | Accel | $1,788 |
| Ohio Health Choice | PHC-Plus | $1,788 |
| Mmo | PPO | $1,836 |
| Mmo | HMO | $1,836 |
| MMO Marketplace | HMO | $1,836 |
| Quality Care Partners | PPO | $1,860 |
| Quality Care Partners Marketplace | Antidote Health | $1,860 |
| The Health Plan | PPO | $1,907 |
| The Health Plan | POS | $1,907 |
| The Health Plan | HMO | $1,907 |
| The Health Plan | ASO | $1,907 |
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