MRI lower back without contrast at Baylor Scott & White Medical Center Trophy Club. CPT 72148.
What Baylor Scott & White Medical Center Trophy Club publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$1,788cash price (self-pay)
$2,980list price
$1,401–$8,427range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Whole Health A/1 | $1,401 |
| Aetna | Aetna Whole Health B/2 | $1,490 |
| Aetna | Aetna Whole Health C/3 | $1,550 |
| Aetna | Aetna Dfw | $1,639 |
| Blue Cross/Blue Shield | BCBS Bav | $2,793 |
| Blue Cross/Blue Shield | BCBS Dfw | $3,214 |
| Blue Cross/Blue Shield | BCBS Premier HMO | $3,956 |
| Blue Cross/Blue Shield | BCBS PPO-City Of Dallas | $5,315 |
| Blue Cross/Blue Shield | BCBS HMO Dfw | $5,610 |
| Blue Cross/Blue Shield | BCBS PPO Dfw | $5,905 |
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All common services at Baylor Scott & White Medical Center Trophy Club