CPT72148

MRI Lumbar Spine Cost in Georgia

Mri lumbar spine w/o dye

$435Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Georgia Medicare physician rate (2026)

-3.0% vs national

Average of 2 localities. Office range $177.21–$194.78.

Georgia (Hospital)
$186.00
Facility physician fee
Private plan est.
$242–$372
~130–200% of Medicare
Cash / self-pay est.
$149–$279
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$315
$192 physician + $123 facility
Physician fee alone
$192
Only 44% of the hospital total

Choosing a surgery centre over a hospital saves about $121 on the Medicare allowed amount for mri lumbar spine. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Georgia

Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.

What mri lumbar spine costs at hospitals near you

Everything above is a national average. The hospital you pick in Georgia moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Georgia

National office$191.72
National hospital (physician)$191.72
Georgia vs national3% below the national office rate of $191.72

Where Georgia ranks for this CPT

Rank (lowest physician fee first)#23 of 51
Lowest stateArkansas ($170.32)
Highest stateAlaska ($223.39)

CPT 72148 by Georgia locality

LocalityOffice
atlanta$194.78
rest of georgia$177.21

PE GPCI ranges from 0.892 to 1.016 in Georgia. That index is why the same CPT is not one price statewide.

MRI Lumbar Spine and how Georgia is priced

Georgia divides into an Atlanta metro locality and a rest-of-state locality, so the fee schedule itself recognizes the cost gap between the capital region and the rest of the state. Atlanta's higher wages and rents translate into higher Medicare-approved amounts inside its locality, while Savannah, Augusta, Columbus, Macon, and rural Georgia share the lower rest-of-state pricing. The split is one of the cleaner examples of a two-tier state in the fee schedule. Patients near the locality boundary can see different approved amounts a short drive apart.

Metro Atlanta concentrates the state's academic medicine and most of its subspecialists, drawing referrals from across the Southeast. Outside the metro, south Georgia has seen repeated rural hospital closures, leaving longer trips for even routine procedures in some counties. Augusta and Savannah serve as important secondary hubs, and border residents sometimes cross into Chattanooga, Tallahassee, or Jacksonville for care.

This procedure: A lumbar spine MRI without contrast images the lower back, the region responsible for most back pain and sciatica, showing discs, nerve roots, and the spinal canal. It is the definitive test before considering injections or surgery for a suspected herniated disc or spinal stenosis. You lie on your back in the scanner for 20 to 40 minutes; it is painless but the flat position can be uncomfortable if lying down aggravates your pain.

What Is MRI Lumbar Spine?

A lumbar spine MRI without contrast images the lower back, the region responsible for most back pain and sciatica, showing discs, nerve roots, and the spinal canal. It is the definitive test before considering injections or surgery for a suspected herniated disc or spinal stenosis. You lie on your back in the scanner for 20 to 40 minutes; it is painless but the flat position can be uncomfortable if lying down aggravates your pain.

What Affects the Cost

  • This is one of the most shopped scans in America, and prices between hospitals and independent centers commonly differ several-fold.
  • Insurer rules pushing six weeks of conservative care first mean therapy visit costs often precede the scan.
  • Findings frequently lead to epidural injections or surgical consultations, so the MRI is often the gateway to a much larger episode of spending.
  • Contrast is only added for specific concerns like prior surgery or infection, at a higher-code price.
  • Open or wide-bore scanners for larger or claustrophobic patients can carry different pricing at specialty centers.

Questions to Ask Before Booking

  • 1.Do I meet my insurer's criteria yet, or will this be denied for lack of conservative treatment first?
  • 2.What is the cash or negotiated price at nearby freestanding imaging centers?
  • 3.Is my scan authorized at the specific location I am booked at?
  • 4.Given my history, does the radiologist need contrast, and what would that add?
  • 5.If the MRI shows a disc problem, what are the typical next-step costs I should anticipate?

MRI Lumbar Spine in Georgia: questions

The 2026 Medicare physician office rate for CPT 72148 averages $186.00 across 2 Georgia localities, from $177.21 in REST OF GEORGIA to $194.78 in ATLANTA. The hospital physician rate averages $186.00. Enter a ZIP for the exact locality.

Yes. CMS splits Georgia into 2 payment localities. For this CPT the office physician fee spans $17.57 from the lowest to highest locality. Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $37 for the office physician line or $37 for the hospital physician line in Georgia. Medigap may cover that 20%. This is not the hospital facility fee.

No. $186.00 is only the physician's share. Adding Medicare's facility payment brings the total to about $435 in a hospital outpatient department, or about $315 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Georgia ranks #23 of 51 states on the physician line (3% below the national office rate of $191.72).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.