MRI lower back without contrast at Graham Regional Medical Center. CPT 72148.
What Graham Regional Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$626cash price (self-pay)
$1,004list price
$67.00–$4,480range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicare Advantage | $241 |
| Amerigroup | Children's Health Insurance Program | $241 |
| ChoiceCare Network | Commercial | $241 |
| Superior HealthPlan | Commercial | $241 |
| Wellpoint | Commercial | $325 |
| Aetna | Commercial | $653 |
| Cigna | Commercial | $653 |
| Blue Cross Blue Shield | Blue Advantage | $683 |
| Blue Cross Blue Shield | Blue Essentials | $713 |
| Blue Cross Blue Shield | Commercial | $753 |
| Blue Cross Blue Shield | PPO | $753 |
| Three Rivers Provider Network | Commercial | $853 |
| Health Advantage Network | Commercial | $903 |
| HealthSmart Preferred Care | Commercial | $903 |
| United Healthcare | Commercial | $1,519 |
| Curative | Commercial | $1,915 |
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