MRI lower back without contrast at Baylor Scott & White Medical Center Sunnyvale. CPT 72148.
What Baylor Scott & White Medical Center Sunnyvale publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,788cash price (self-pay)
$2,980list price
$223–$2,755range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Adv HMO | $223 |
| BCBS | Bav | $1,303 |
| BCBS | Blue Advantage HMO | $1,303 |
| BCBS | Blue Health | $1,846 |
| BCBS | Hmh | $1,846 |
| BCBS | Hpn | $1,846 |
| BCBS | Premier HMO | $1,846 |
| BCBS | City of Dallas PPO | $2,479 |
| BCBS | Blue Choice | $2,755 |
| BCBS | PPO | $2,755 |
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All common services at Baylor Scott & White Medical Center Sunnyvale