MRI lower back without contrast at Methodist Le Bonheur Germantown Hospital. CPT 72148.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$1,364cash price (self-pay)
$6,202list price
$50.00–$595range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Medicaid [350006] | Hb UHC Mschips Ob & Mlh-Tn Adult Hospitals Co | $50.00 |
| BCBS MEDICAID REPLACEMENT [350011] | HB Bluecare Adult Contract | $125 |
| BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Se | $131 |
| TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennC | $131 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $174 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $182 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $182 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $182 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $182 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Ms-Ob Contract | $182 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Tn Adult Contrac | $215 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $221 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $221 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $221 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $221 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $221 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $221 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $221 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $221 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $221 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $221 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $221 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $221 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $221 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $221 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $221 |
| Transplant Optum Medicare [450095] | Hb Medicare Advantage / Managed C | $221 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $228 |
| CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Ca | $293 |
| CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Ca | $321 |
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All common services at Methodist Le Bonheur Germantown Hospital