MRI lower back without contrast at WTH Dyersburg Hospital. CPT 72148.
What WTH Dyersburg Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$215cash price (self-pay)
$718list price
$172–$718range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| River Valley Plan | TennCare | $172 |
| Veterans Affairs | Community Care Network | $216 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $223 |
| Blue Cross Blue Shield of Tennessee | Network P | $223 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $223 |
| Cigna | HMO/Network/Open Access Plus | $245 |
| Cigna | IFP/LocalPlus | $245 |
| Aetna | VHAN - Employee Networks | $312 |
| Celtic Insurance Company | Commercial-Exchange | $336 |
| Aetna | Whole Health | $351 |
| Aetna | New Business Discount - Commercial | $367 |
| Aetna | Commercial | $461 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $650 |
| Home State Health Plan | MO HealthNet Medicaid | $718 |
Inpatient
$215cash price (self-pay)
$718list price
$367–$718range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | New Business Discount - Commercial | $367 |
| Aetna | Commercial | $461 |
| Home State Health Plan | MO HealthNet Medicaid | $718 |
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