MRI lower back without contrast at Baylor Scott & White Medical Center Hillcrest. CPT 72148.
What Baylor Scott & White Medical Center Hillcrest 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 |
| Baylor Scott & White Health Plan | Medicare Advantage | $228 |
| CORVEL | Worker's Compensation | $233 |
| Humana | Medicare | $240 |
| TriWest | Community Care Network | $240 |
| American Health Plan | Medicare Advantage | $252 |
| Blue Cross Blue Shield | Medicare Advantage | $252 |
| ProCare Advantage | Medicare Advantage | $252 |
| 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 |
| Injury Management Organization | Med Select Network | $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 |
| Texas Workforce Commission | Workers Compensation | $1,258 |
| Cigna | Local Plus | $1,711 |
| Imagine Health | Commercial | $1,718 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $1,731 |
| High Plains Health Plans | Commercial | $1,868 |
| 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 |
| MidCoast | Commercial | $2,097 |
| Independent Medical System | Commercial PPO | $2,288 |
Inpatient
$2,288cash price (self-pay)
$3,813list price
$1,258–$2,669range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Texas Workforce Commission | Workers Compensation | $1,258 |
| High Plains Health Plans | Commercial | $1,868 |
| 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 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Baylor Scott & White Medical Center Hillcrest