MRI lower back without contrast at Johnston Memorial Hospital. CPT 72148.
What Johnston Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$605cash price (self-pay)
$4,033list price
$231–$4,033range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Amerigroup | $231 |
| Aetna | Aetna Healthcare Medicare | $233 |
| Allcare Medicare | Allcare Medicare | $233 |
| Blue Cross | Blue Cross Medicare | $233 |
| Humana | Humana Medicare | $233 |
| Managed Medicaire | Managed Medicaire | $233 |
| Mountain Empire Pace | Mountain Empire Pace | $233 |
| Sentara Health | Sentara Medicare | $233 |
| Aetna | Aetna Better Health Of Virginia Medicare | $240 |
| Blue Cross | Anthem Medicare Virginia | $240 |
| Amerigroup | Amerigroup Medicare Wellpoint | $242 |
| Molina Healthcare | Molina Healthcare Medicare | $242 |
| Cigna Healthcare | Cigna Medicare | $244 |
| Devoted Health Plan | Devoted Health Plan Medicare | $244 |
| Nhc Advantage | Nhc Advantage | $244 |
| United Healthcare | Tenncare United Healthcare | $305 |
| Optima Health | Optima Health Medicaid | $305 |
| Blue Cross | Anthem Hlthkeep Mediciad | $314 |
| Molina Healthcare | Molina Healthcare Medicaid | $317 |
| Aetna | Aetna Better Health Of Virginia | $320 |
| Blue Cross | Tenncare Blue Care | $409 |
| Blue Cross | Tenncare Blue Select | $409 |
| Ambetter | Ambetter | $508 |
| Blue Cross | Blue Cross Ballad Health Employee | $738 |
| Blue Cross | Anthem Exchange | $781 |
| Cigna Healthcare | Cigna Individual Family Plan | $786 |
| Blue Cross | Anthem HMO | $896 |
| Cigna Healthcare | Cigna HMO | $923 |
| Cigna Healthcare | Cigna Open Access Plus | $923 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $953 |
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