MRI lower back without contrast at UVA Health Haymarket Medical Center. CPT 72148.
What UVA Health Haymarket Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,119cash price (self-pay)
$2,237list price
$128–$3,094range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $128 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $128 |
| ANTHEM MEDICARE [10503] | UVAHM - Managed Medicare (various) | $247 |
| LIFEWORKS MEDICARE [10515] | UVAHM - Managed Medicare (various) | $247 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVAHM - Managed Medicare (vario | $247 |
| SENTARA MEDICARE [10506] | UVAHM - Managed Medicare (various) | $247 |
| VA CCN [99926] | UVAHM - Managed Medicare (various) | $247 |
| VETERANS ADMINISTRATION [99910] | UVAHM - Managed Medicare (various) | $247 |
| VIRGINIA PREMIER MEDICARE [10508] | UVAHM - Managed Medicare (various) | $247 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAHM - Managed Medicare (variou | $247 |
| KAISER PERMANENTE MEDICARE [10513] | UVAHM - Managed Medicare (Kaiser) | $247 |
| UNITED HEALTHCARE MEDICARE [10507] | UVAHM - Managed Medicare (various | $247 |
| VA CCN [99927] | UVAHM - Managed Medicare (various) | $247 |
| AETNA MEDICARE [10501] | UVAHM - Managed Medicare (Aetna) | $249 |
| HUMANA MEDICARE [10505] | UVAHM - Managed Medicare (Humana) | $252 |
| HUMANA TRANSPLANT [40054] | UVAHM - Managed Medicare (Humana) | $252 |
| ANTHEM [30001] | UVAHM - Anthem Exchange | $484 |
| CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $623 |
| ANTHEM CAREFIRST [30008] | UVAHM - Anthem (PPO PAR HMO) | $690 |
| ANTHEM UHC [30009] | UVAHM - Anthem (PPO PAR HMO) | $690 |
| UNITED HEALTHCARE [40032] | UVAHM - Anthem (PPO PAR HMO) | $690 |
| ANTHEM [30001] | UVAHM - Anthem (PPO PAR HMO) | $690 |
| Cigna [40005] | Cigna Nalc Supplemental [4000510] | $704 |
| Cigna [40005] | Cigna 182223 PPO [4000520] | $704 |
| CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $1,426 |
| Multiplan Generic [40035] | Multiplan Generic [4003501] | $1,700 |
| Vhn Generic [40040] | Medcost/Phcs Virginia Generic [4004001] | $1,700 |
| VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $1,700 |
| CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $1,737 |
| SENTARA [40021] | UVAPW & UVAHM - Optima | $1,738 |
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