MRI lower back without contrast at Lonesome Pine Hospital. CPT 72148.
What Lonesome Pine 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
$169–$4,033range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $169 |
| Aetna | Aetna Healthcare Medicare | $233 |
| Allcare Medicare | Allcare Medicare | $233 |
| Amerigroup | Amerigroup Medicare Wellpoint | $233 |
| Humana | Humana Medicare | $233 |
| Managed Medicaire | Managed Medicaire | $233 |
| Sentara Health | Sentara Medicare | $233 |
| Aetna | Aetna Better Health Of Virginia Medicare | $240 |
| Blue Cross | Anthem Medicare Virginia | $240 |
| Blue Cross | Blue Cross Medicare | $242 |
| Cigna Healthcare | Cigna Medicare | $244 |
| Devoted Health Plan | Devoted Health Plan Medicare | $244 |
| Molina Healthcare | Molina Healthcare Medicare | $244 |
| Mountain Empire Pace | Mountain Empire Pace | $244 |
| Nhc Advantage | Nhc Advantage | $244 |
| Blue Cross | Anthem Hlthkeep Mediciad | $314 |
| Optima Health | Optima Health Medicaid | $314 |
| Aetna | Aetna Better Health Of Virginia | $317 |
| Molina Healthcare | Molina Healthcare Medicaid | $320 |
| Ambetter | Ambetter | $508 |
| Seven Corners, Inc. | Seven Corners, Inc. | $559 |
| Blue Cross | Blue Cross Ballad Health Employee | $738 |
| Blue Cross | Anthem Exchange | $767 |
| Cigna Healthcare | Cigna Individual Family Plan | $786 |
| Blue Cross | Anthem HMO | $890 |
| Blue Cross | Blue Cross P Network | $947 |
| Blue Cross | Blue Cross S Network | $947 |
| Sentara Health | Sentara Health | $1,021 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $1,047 |
| Cigna Healthcare | Cigna PPO | $1,169 |
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