MRI lower back without contrast at Jackson-Madison County General Hospital. CPT 72148.
What Jackson-Madison County General Hospital publishes for this service, straight from its standard-charges file, last updated June 5, 2026.
Outpatient / ER
$215cash price (self-pay)
$718list price
$216–$718range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ChoiceCare | Medicare Advantage | $216 |
| Veterans Affairs | Community Care Network | $216 |
| Cigna-HealthSpring | Medicare Advantage | $218 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $223 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $223 |
| River Valley Plan | TennCare | $223 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $257 |
| Blue Cross Blue Shield of Tennessee | Network P | $279 |
| Celtic Insurance Company | Commercial-Exchange | $336 |
| Aetna | Whole Health | $351 |
| Aetna | West TN Employee Network | $387 |
| Aetna | Commercial | $412 |
| ChoiceCare | Commercial | $539 |
| United Healthcare | All Payer | $589 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $650 |
| ChoiceCare | KY Medicaid HMO | $718 |
Inpatient
$215cash price (self-pay)
$718list price
$461–$718range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $461 |
| ChoiceCare | Commercial | $539 |
| ChoiceCare | KY Medicaid HMO | $718 |
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All common services at Jackson-Madison County General Hospital