MRI lower back without contrast at Dickenson Community Hospital. CPT 72148.
What Dickenson Community Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$594cash price (self-pay)
$2,581list price
$305–$2,581range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $305 |
| Optima Health | Optima Health Medicaid | $436 |
| United Healthcare | United Healthcare Medicaid Virginia | $436 |
| Blue Cross | Anthem Hlthkeep Mediciad | $449 |
| Aetna | Aetna Better Health Of Virginia | $453 |
| Molina Healthcare | Molina Healthcare Medicaid | $453 |
| Blue Cross | Blue Cross Ballad Health Employee | $738 |
| Aetna | Aetna Healthcare Medicare | $774 |
| Allcare Medicare | Allcare Medicare | $774 |
| Amerigroup | Amerigroup Medicare Wellpoint | $774 |
| Blue Cross | Anthem Medicare Virginia | $774 |
| Managed Medicaire | Managed Medicaire | $774 |
| Sentara Health | Sentara Medicare | $774 |
| United Healthcare | United Healthcare Medicare | $774 |
| United Mine Workers Of America | United Mine Workers Of America | $774 |
| Cigna Healthcare | Cigna Individual Family Plan | $786 |
| Humana | Humana Medicare | $787 |
| Aetna | Aetna Better Health Of Virginia Medicare | $798 |
| Molina Healthcare | Molina Healthcare Medicare | $805 |
| Cigna Healthcare | Cigna Medicare | $813 |
| Devoted Health Plan | Devoted Health Plan Medicare | $813 |
| Nhc Advantage | Nhc Advantage | $813 |
| Blue Cross | Anthem Exchange | $862 |
| Medcost | Medcost Vhn | $903 |
| Cigna Healthcare | Cigna HMO | $923 |
| Cigna Healthcare | Cigna Open Access Plus | $923 |
| Blue Cross | Anthem HMO | $943 |
| Sentara Health | Sentara Health | $952 |
| Ambetter | Ambetter | $955 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $1,003 |
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