MRI lower back without contrast at Austin Center for Outpatient Surgery LP. CPT 72148.
What Austin Center for Outpatient Surgery LP publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$156–$1,969range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1136_champva Austin 20180301 | $156 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $199 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $199 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $199 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $199 |
| Wellpoint Chip/Chip Perinate | 4157_wellpoint/Amerigroup Chip (Chi,Dcn | $199 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $211 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $211 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $211 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $211 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $211 |
| UHC Star | 4253_chirp UHC Star (Chi,Dcn) Outpatient 20241201 | $211 |
| UHC Star Kids | 4311_uhc Star Kids (Chi,Dcn) Outpatient 20241201 | $211 |
| UHC Star Plus | 4264_chirp UHC Star Plus (Chi,Dcn) Outpatient 20241201 | $211 |
| Wellpoint Chip/Chip Perinate | 4157_amerigroup Chip/Star Kids (Chi,Dcn | $211 |
| Wellpoint Star | 4197_chirp Amerigroup Star (Chi,Dcn) Outpatient 20241 | $211 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $213 |
| Dell Chip/Chip Perinate | 3605_dell Chip/Star Kids (Chi,Dcn) Inpatient | $213 |
| Dell Star | 3704_chirp Dell Star (Chi,Dcn) Inpatient 20240901 | $213 |
| UHC Star | 3737_chirp UHC Star (Chi,Dcn) Inpatient 20240901 | $213 |
| UHC Star Kids | 4322_uhc Star Kids (Chi,Dcn) Inpatient 20240901 | $213 |
| UHC Star Plus | 3748_chirp UHC Star Plus (Chi,Dcn) Inpatient 20240901 | $213 |
| Wellpoint Star | 3671_chirp Wellpoint/Amerigroup Star (Chi,Dcn) Inpati | $213 |
| Champva | 1135_champva Rest_tx 20180301 | $218 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $247 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $264 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $755 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $755 |
| BCBS Hpn | 4440_blue Cross Blue Shield Hpn 20250501 | $855 |
| BCBS Hpn | 4497_blue Cross Blue Shield Hpn (Dell, Williamson,Hays) 202 | $855 |
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All common services at Austin Center for Outpatient Surgery LP