MRI lower back without contrast at Newberry County Memorial Hospital. CPT 72148.
What Newberry County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2026.
Outpatient / ER
$1,535cash price (self-pay)
$4,148list price
$237–$3,858range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare Advantrage | HMO | $237 |
| Aetna Medicare Advantage | HMO | $237 |
| Molina Medicare Advantage | HMO | $244 |
| Devoted Health | PPO | $244 |
| Humana Medicare Advantage | HMO | $244 |
| NHC Medicare Advantage | HMO | $246 |
| Select Health Medicare Advantage | HMO | $248 |
| Ambetter Exchange | PPO | $248 |
| Molina Marketplace | PPO | $248 |
| Liberty Medicare Advantage | HMO | $251 |
| South Carolina Medicaid | HMO | $654 |
| Humana Medicaid Replacement | HMO | $654 |
| Cigna Medicaid Replacement | HMO | $686 |
| Self Pay | PPO | $1,535 |
| BCBS Blue Choice | PPO | $2,800 |
| Aetna Commercial | PPO | $2,808 |
| UHC Options PPO | PPO | $3,123 |
| Cigna Commercial | PPO | $3,306 |
| United Payers and United Providers (UP & UP) | PPO | $3,858 |
Inpatient
$1,535cash price (self-pay)
$4,148list price
$79.00–$3,858range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Commercial | PPO | $79.00 |
| Self Pay | PPO | $1,535 |
| BCBS Blue Choice | PPO | $2,418 |
| South Carolina Medicaid | HMO | $2,673 |
| Cigna Medicaid Replacement | HMO | $2,673 |
| Humana Medicaid Replacement | HMO | $2,673 |
| Aetna Commercial | PPO | $2,808 |
| United Payers and United Providers (UP & UP) | PPO | $3,858 |
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