MRI lower back without contrast at UVA Health Medical Center. CPT 72148.
What UVA Health Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$908cash price (self-pay)
$3,570list price
$131–$5,134range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $131 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $131 |
| BLUE RIDGE PACE [10510] | UVAMC - Managed Medicare (Innovage) | $215 |
| BLUE RIDGE PACE MEDICAID [20513] | UVAMC - Managed Medicare (Innovage) | $215 |
| LIFEWORKS MEDICARE [10515] | UVAMC - Managed Medicare (various) | $239 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVAMC - Managed Medicare (vario | $239 |
| MEDICARE REPLACEMENT NONPAR GENERIC [10516] | UVAMC - Managed Medicare | $239 |
| MOLINA COMPLETE CARE MEDICARE [10517] | UVAMC - Managed Medicare (vari | $239 |
| OPTUM MEDICARE [10512] | UVAMC - Managed Medicare (various) | $239 |
| UHC OPTUM MEDICARE [10521] | UVAMC - Managed Medicare (various) | $239 |
| Va Ccn [99927] | Uvamc - Vaccn | $239 |
| AETNA IOE MEDICARE [10511] | UVAMC - Managed Medicare (various) | $239 |
| AETNA MEDICARE [10501] | UVAMC - Managed Medicare (various) | $239 |
| ANTHEM MEDICARE [10503] | UVAMC - Managed Medicare (various) | $239 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAMC - Managed Medicare (variou | $239 |
| AETNA [40002] | UVAMC - Aetna (Comm. Book of Business) | $318 |
| ANTHEM [30001] | UVAMC - Anthem Exchange | $540 |
| CIGNA [40005] | UVAMC - Cigna (New Business) | $561 |
| CIGNA [40005] | UVAMC - Cigna (OAP) | $623 |
| CIGNA [40005] | UVAMC - Cigna (PPO) | $704 |
| ANTHEM [30001] | UVAMC - Anthem (PPO PAR HMO) | $715 |
| ANTHEM CAREFIRST [30008] | UVAMC - Anthem (PPO PAR HMO) | $715 |
| UNITED HEALTHCARE [40032] | UVAMC - Anthem (PPO PAR HMO) | $715 |
| ANTHEM UHC [30009] | UVAMC - Anthem (PPO PAR HMO) | $715 |
| BEACON HEALTH OPTIONS [40012] | UVAMC - Misc. (Beacon BH) | $757 |
| Commercial Generic [40000] | Valleyhealth/Peak [4000016] | $794 |
| COMMERCIAL CONTRACTED HB ONLY [40056] | UVAMC - Valley Health | $794 |
| OPTUM BEHAVIORAL HEALTH CARVE OUTS [40041] | UVAMC - Optum (BH) | $908 |
| COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Custom Ink) | $908 |
| UMWA [40037] | UVAMC - Misc. (UMWA) | $1,059 |
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