MRI lower back without contrast at Novant Health Hilton Head Medical Center. CPT 72148.
What Novant Health Hilton Head Medical Center publishes for this service, straight from its standard-charges file, last updated March 12, 2026.
Outpatient / ER
$660cash price (self-pay)
—list price
$222–$2,572range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Absolute Total Care | MMP | $222 |
| Absolute Total Care | Medicare Advantage | $222 |
| Aetna | Medicare Advantage | $222 |
| Devoted Health Plan | HMO MA | $222 |
| Devoted Health Plan | PPO MA | $222 |
| Humana | Medicare Advantage | $222 |
| United Healthcare | Medicare Advantage | $222 |
| Molina | MMP | $226 |
| Molina | Medicare Advantage | $226 |
| Cigna | HealthSpring | $229 |
| United Healthcare | All Other Plans | $230 |
| United Healthcare | Exchange | $230 |
| United Healthcare | Options PPO | $230 |
| Clover Insurance Company | HMO MA | $231 |
| Clover Insurance Company | PPO MA | $231 |
| Select Health | MMP | $233 |
| Select Health | Medicare Advantage | $233 |
| Absolute Total Care | Marketplace | $366 |
| Molina | Marketplace | $388 |
| Select Health | Marketplace | $497 |
| Humana | Medicaid | $654 |
| Molina | Medicaid | $654 |
| Select Health | Medicaid | $654 |
| BlueCross BlueShield of South Carolina | State Health Plan | $660 |
| Absolute Total Care | Medicaid | $686 |
| BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX ( | $1,419 |
| BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HI | $1,419 |
| BlueCross BlueShield of South Carolina | Blue Choice Health Plan Comme | $2,572 |
| BlueCross BlueShield of South Carolina | Preferred Blue Commercial (PB | $2,572 |
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All common services at Novant Health Hilton Head Medical Center