MRI lower back without contrast at Carilion Giles Community Hospital. CPT 72148.
What Carilion Giles Community Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$1,258cash price (self-pay)
$3,595list price
$176–$3,415range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Healthkeeper Plus | Managed Medicaid | $176 |
| Sentara Health Plan | Managed Medicaid | $179 |
| Humana Medicaid | Managed Medicaid | $184 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $184 |
| United Healthcare - Medicaid | Managed Medicaid | $184 |
| ABH of WVA (formerly Coventry) | Managed Medicaid | $184 |
| Aetna - Medicare Prime | Medicare Advantage | $209 |
| Humana Military | Tricare | $214 |
| Humana - Dual Eligible | Dual Eligible | $218 |
| Humana | Medicare Advantage | $227 |
| Anthem - Medicare Advantage | Medicare Advantage | $227 |
| Aetna - Medicare | Medicare Advantage | $230 |
| United Healthcare - Medicare | Medicare Advantage | $230 |
| Sentara Health Plan | Medicare Advantage | $234 |
| Anthem - Exchange | Exchange | $1,107 |
| Anthem - PPO PAR HMO | Commercial | $1,230 |
| United Healthcare - RCPS | Commercial | $1,801 |
| Aetna - Preferred | Commercial | $1,830 |
| Aetna | Choice POS II | $1,862 |
| Gateway - Tier 3 | Commercial | $1,977 |
| United Healthcare - Non Option PPO | Commercial | $2,055 |
| VHN - ULTRA | Commercial | $2,229 |
| Sentara Health Plan | Commercial | $2,229 |
| Aetna - BoB | Commercial | $2,387 |
| Cigna - HMO | Commercial | $2,423 |
| Connecticare | Commercial | $2,517 |
| Cigna - PPO | Commercial | $2,588 |
| United Healthcare - Options PPO | Commercial | $2,591 |
| VHN - PLUS | Commercial | $2,768 |
| VHN | Commercial | $2,876 |
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