MRI lower back without contrast at Sycamore Shoals Hospital. CPT 72148.
What Sycamore Shoals Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$605cash price (self-pay)
$4,033list price
$215–$4,033range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Amerigroup | $215 |
| Aetna | Aetna Better Health Of Virginia Medicare | $216 |
| Aetna | Aetna Healthcare Medicare | $216 |
| Allcare Medicare | Allcare Medicare | $216 |
| Amerigroup | Amerigroup Medicare Wellpoint | $216 |
| Humana | Humana Medicare | $216 |
| Managed Medicaire | Managed Medicaire | $216 |
| Sentara Health | Sentara Medicare | $216 |
| United Healthcare | United Healthcare Medicare | $216 |
| United Mine Workers Of America | United Mine Workers Of America | $216 |
| Blue Cross | Anthem Medicare Virginia | $223 |
| Blue Cross | Blue Cross Medicare | $225 |
| Molina Healthcare | Molina Healthcare Medicare | $225 |
| Cigna Healthcare | Cigna Medicare | $227 |
| Devoted Health Plan | Devoted Health Plan Medicare | $227 |
| Nhc Advantage | Nhc Advantage | $227 |
| United Healthcare | Tenncare United Healthcare | $305 |
| Blue Cross | Anthem Hlthkeep Mediciad | $330 |
| Optima Health | Optima Health Medicaid | $330 |
| Aetna | Aetna Better Health Of Virginia | $343 |
| Molina Healthcare | Molina Healthcare Medicaid | $343 |
| Blue Cross | Tenncare Blue Care | $409 |
| Blue Cross | Tenncare Blue Select | $409 |
| Ambetter | Ambetter | $472 |
| Blue Cross | Blue Cross Ballad Health Employee | $738 |
| Cigna Healthcare | Cigna Individual Family Plan | $786 |
| Blue Cross | Blue Cross E Network | $896 |
| Blue Cross | Blue Cross P Network | $914 |
| Blue Cross | Blue Cross S Network | $914 |
| Cigna Healthcare | Cigna HMO | $923 |
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