MRI lower back without contrast at Ascension Providence. CPT 72148.
What Ascension Providence publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$872cash price (self-pay)
$2,666list price
$199–$1,519range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Star | 975_bcbs Star Outpatient 20241201 | $199 |
| Medicaid Replacement 100% | 903_medicaid Replacement 100% Outpatient 2 | $199 |
| Molina Medicaid Replacement Chip | 908_molina Chip Outpatient 20241201 | $199 |
| Superior Chip/Chip Perinate | 910_superior Chip Outpatient 20241201 | $199 |
| Superior Star | 904_superior Star Outpatient 20241201 | $199 |
| Superior Star Plus | 907_superior Star Plus Outpatient 20241201 | $199 |
| Swhp Rightcare Star | 905_swhp Rightcare Star Outpatient 20241201 | $199 |
| UHC Star | 928_uhc Star Outpatient 20250701 | $199 |
| UHC Star Kids | 909_uhc Star Kids Outpatient 20241201 | $199 |
| UHC Star Plus | 906_uhc Star Plus Outpatient 20241201 | $199 |
| Wellpoint Star | 902_wellpoint (Amerigroup) Star Outpatient 20241201 | $199 |
| BCBS Star | 974_bcbs Star Inpatient 20240901 | $213 |
| Mclennan County Indigent | 933_mclennan County Indigent Inpatient 2025 | $213 |
| Medicaid Replacement 100% | 816_medicaid Replacement 100% Inpatient 20 | $213 |
| Molina Medicaid Replacement Chip | 891_molina Chip Inpatient 20240901 | $213 |
| Superior Chip/Chip Perinate | 898_superior Chip Inpatient 20240901 | $213 |
| Superior Star | 817_superior Star Inpatient 20240901 | $213 |
| Superior Star Plus | 856_superior Star Plus Inpatient 20240901 | $213 |
| Swhp Rightcare Star | 818_swhp Rightcare Star Inpatient 20240901 | $213 |
| UHC Star | 929_uhc Star Inpatient 20250701 | $213 |
| UHC Star Kids | 894_uhc Star Kids Inpatient 20240901 | $213 |
| UHC Star Plus | 852_uhc Star Plus Inpatient 20240901 | $213 |
| Wellpoint Star | 815_wellpoint (Amerigroup) Star Inpatient 20240901 | $213 |
| Ascension Complete Medicare Replacement | 920_medicare Advantage Ascen | $237 |
| Medicare Advantage 100 Percent | 879_medicare Advantage 100% Outpatien | $237 |
| Tricare | 877_tricare Outpatient 20250101 | $237 |
| Va | 887_veterans Administration Outpatient 20250101 | $237 |
| Wellcare Allwell Medicare Advantage | 918_wellcare Allwell Medicare Ad | $237 |
| Aetna Medicare Replacement | 880_medicare Advantage Aetna Outpatient 2 | $242 |
| UHC Medicare Replacement | 883_medicare Advantage United Healthcare Ou | $242 |
Inpatient
—cash price (self-pay)
—list price
$237–$355range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ascension Complete Medicare Replacement | 995_medicare Advantage Ascen | $237 |
| Medicare Advantage 100 Percent | 988_medicare Advantage 100% Inpatient | $237 |
| Tricare | 986_tricare Inpatient 20251001 | $237 |
| Va | 992_veterans Administration Inpatient 20251001 | $237 |
| Wellcare Allwell Medicare Advantage | 994_wellcare Allwell Medicare Ad | $237 |
| Aetna Medicare Replacement | 989_medicare Advantage Aetna Inpatient 20 | $242 |
| UHC Medicare Replacement | 991_medicare Advantage United Healthcare In | $242 |
| Swhp Medicare Replacement | 990_medicare Advantage Scott And White Inp | $244 |
| Smarthealth | 984_smarthealth Inpatient 20251001 | $332 |
| Superior Ambetter | 985_superior Ambetter Inpatient 20251001 | $355 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.