MRI lower back without contrast at Stonewall Jackson Hospital. CPT 72148.
What Stonewall Jackson Hospital publishes for this service, straight from its standard-charges file, last updated May 19, 2026.
Outpatient / ER
$675cash price (self-pay)
$1,350list price
$132–$1,323range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health_plan_medicaid | Medicaid | $132 |
| Unicare_medicaid | Medicaid | $132 |
| Caresource_medicaid | Medicaid | $135 |
| Highmark_bcbs_medicaid | Medicaid | $139 |
| Aetna_better_health | Medicare | $196 |
| Humana | Medicare | $232 |
| Umwa | Medicare | $232 |
| Ves | Medicare | $232 |
| Universal_health | Medicare | $239 |
| Highmark_bcbs_ppo | Medicare | $1,033 |
| Highmark_bcbs_traditional | Medicare | $1,033 |
| Aetna | Commercial | $1,080 |
| Aetna_auto | Commercial | $1,080 |
| Aetna_medical_rental | Commercial | $1,080 |
| Aetna_work_comp | Commercial | $1,080 |
| Highmark_bcbs_aca | Medicare | $1,099 |
| Onenet | Commercial | $1,165 |
| Healthsmart_accel | Commercial | $1,215 |
| Healthsmart_auto | Commercial | $1,215 |
| Healthsmart_hpo | Commercial | $1,215 |
| Healthsmart_ppo | Commercial | $1,215 |
| Sharpe | Commercial | $1,215 |
| Cigna | Commercial | $1,217 |
| UHC | Commercial | $1,255 |
| Alliance_ppo | Commercial | $1,282 |
| Ccn | Commercial | $1,282 |
| Multiplan | Commercial | $1,282 |
| Napp | Commercial | $1,316 |
| 4_most | Commercial | $1,323 |
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