MRI lower back without contrast at Memorial Medical Center. CPT 72148.
What Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated September 14, 2026.
Outpatient / ER
$2,093cash price (self-pay)
$2,990list price
$845–$2,542range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HMO | Blue Cross HMO | $845 |
| Blue Cross Options | Blue Cross Options | $845 |
| Blue Cross PPO | Blue Cross PPO | $917 |
| Blue Cross Trad-All Other Plans | Blue Cross Trad-All Other Plans | $917 |
| Triwest Va Pccc-All Plans | Triwest Va Pccc-All Plans | $938 |
| UHC Mcr Adv | UHC Mcr Adv | $957 |
| Universal American Mcr-All Other Plans | Universal American Mcr-All Ot | $957 |
| Amerigroup Mcr Adv-All Other Plans | Amerigroup Mcr Adv-All Other Plan | $957 |
| Care Improvement Plus - All Other Plans | Care Improvement Plus - All | $957 |
| Coventry First Hlth Mcr Adv | Coventry First Hlth Mcr Adv | $957 |
| Multiplan Mcr Adv | Multiplan Mcr Adv | $957 |
| Superior Allwell Mcr Adv-All Other Plans | Superior Allwell Mcr Adv-Al | $957 |
| Care Improvement Plus Mcr | Care Improvement Plus Mcr | $966 |
| Superior Hp Ambetter | Superior Hp Ambetter | $1,148 |
| Amerigroup Chip | Amerigroup Chip | $1,692 |
| Amerigroup Star | Amerigroup Star | $1,692 |
| Molina Chip/Star-All Plans | Molina Chip/Star-All Plans | $1,692 |
| Superior Chip/Star | Superior Chip/Star | $1,692 |
| UHC Star/Chip | UHC Star/Chip | $1,692 |
| Amerigroup Star Kids | Amerigroup Star Kids | $1,692 |
| Amerigroup Star Plus | Amerigroup Star Plus | $1,692 |
| Comm Health Chip | Comm Health Chip | $1,692 |
| Comm Health Perinatal-All Other Plans | Comm Health Perinatal-All Othe | $1,692 |
| Scott & White Chip/Star-All Plans | Scott & White Chip/Star-All Plans | $1,692 |
| Comm Health Star | Comm Health Star | $1,777 |
| Comm Health Mcaid HMO | Comm Health Mcaid HMO | $1,777 |
| Prime Healthcare Services-All Plans | Prime Healthcare Services-All Pl | $2,093 |
| Cigna-All Plans | Cigna-All Plans | $2,243 |
| Capstar Health Network-All Plans | Capstar Health Network-All Plans | $2,392 |
| Coventry First Hlth HMO PPO-All Other Plans | Coventry First Hlth HMO | $2,392 |
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