MRI lower back without contrast at TMC Bonham Hospital. CPT 72148.
What TMC Bonham Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,983cash price (self-pay)
$7,977list price
$309–$4,946range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina_chip | Medicaid | $309 |
| Superior_star_plus | Medicaid | $385 |
| Uhc_star_plus | Medicaid | $385 |
| Molina_star_plus | Medicaid | $405 |
| Wellpoint_star_plus | Medicaid | $405 |
| Superior_star | Medicaid | $412 |
| Uhc_star | Medicaid | $412 |
| Molina_star | Medicaid | $432 |
| Superior_chip | Medicaid | $432 |
| Wellpoint | Medicaid | $432 |
| Aetna_medicare | Medicare | $1,675 |
| Humana_choice_care | Medicare | $1,675 |
| United_healthcare | Medicare | $1,675 |
| Ambetter | Qhp | $2,630 |
| Cigna | HMO | $3,103 |
| Aetna | PPO | $4,164 |
| Blue_cross_blue_shield_of_tx | Managed_care | $4,946 |
| Blue_cross_blue_shield_of_tx | HMO | $4,946 |
| Blue_cross_blue_shield_of_tx | PPO | $4,946 |
| Blue_cross_blue_shield_of_tx | Qhp | $4,946 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.