MRI lower back without contrast at Lewisgale Medical Center. CPT 72148.
What Lewisgale Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$6,017cash price (self-pay)
$6,017list price
$314–$5,415range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $518 |
| Anthem | HIX | $590 |
| Anthem | HMO | $656 |
| Anthem | PPO | $656 |
| Cigna | NPR | $1,047 |
| Lifeworks | MCR | $1,143 |
| Universal Healthcare Group | MCR | $1,324 |
| Virginia Health Network | ULTRA | $2,106 |
| United | OptionsPPO | $2,196 |
| United | GlobalBenefitPlan | $2,708 |
| Naphcare | Federal | $3,009 |
| Aetna | SharedSavings | $3,114 |
| Greenvbrier Sporting Club | COMM | $3,610 |
| Graham-White Manufacturing | COMM | $4,212 |
| Richfield Nursing Center | COMM | $4,212 |
| Virginia Health Network | COMM | $4,272 |
| Virginia Health Network | WC | $4,272 |
| CorVel | WorkersComp | $4,332 |
| Community Care Network | COMM | $4,513 |
| Richfield Retirement Community | COMM | $4,513 |
| CSX Hotels | Product | $4,814 |
| OccuNet Workers Comp | WorkersComp | $4,814 |
| One Health Plan | POS | $4,814 |
| One Health Plan | PPO | $4,814 |
| Aetna | Broad | $4,830 |
| Patients Choice | COMM | $5,295 |
| 4Most | COMM | $5,415 |
| Alleghany Highland Community | COMM | $5,415 |
| American Postal Workers Union | COMM | $5,415 |
| C&O Employees Hospital Assn | COMM | $5,415 |
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