MRI lower back without contrast at Baylor Scott & White Mclane Children's Medical Center. CPT 72148.
What Baylor Scott & White Mclane Children's Medical Center publishes for this service, straight from its standard-charges file, last updated June 13, 2026.
Outpatient / ER
$2,288cash price (self-pay)
$3,813list price
$197–$2,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Medicaid | $197 |
| United Healthcare | Medicaid/CHIP | $211 |
| Baylor Scott & White Health Plan | Medicare Advantage | $228 |
| CORVEL | Worker's Compensation | $233 |
| TriWest | Community Care Network | $240 |
| American Health Plan | Medicare Advantage | $252 |
| Blue Cross Blue Shield | Medicare Advantage | $252 |
| ProCare Advantage | Medicare Advantage | $252 |
| United Healthcare | Medicare Advantage | $268 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $288 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $301 |
| Prime Health Services | Worker's Compensation | $302 |
| CareWorks fka Rockport | Worker's Compensation | $358 |
| Sedgwick | Preferred Network | $358 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $395 |
| Mark Cuban | Commercial | $607 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $974 |
| Blue Cross Blue Shield | Blue Advantage | $986 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,128 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,189 |
| Cigna | Local Plus | $1,711 |
| Imagine Health | Commercial | $1,718 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $1,731 |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,792 |
| Cigna | HMO/PPO | $2,013 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $2,037 |
| Aetna | Commercial | $2,097 |
| QuikTrip | Employee Benefit Plan | $2,097 |
| Employers Health Network | EHN Network | $2,097 |
| MidCoast | Commercial | $2,097 |
Inpatient
$2,288cash price (self-pay)
$3,813list price
$2,097–$2,669range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $2,097 |
| MidCoast | Commercial | $2,097 |
| Independent Medical System | Commercial PPO | $2,288 |
| Curative | Commercial | $2,479 |
| First Health | PPO | $2,669 |
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All common services at Baylor Scott & White Mclane Children's Medical Center