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MRI lower back without contrast at CAHRMC, dba Rice Medical Center. CPT 72148.

What CAHRMC, dba Rice Medical Center publishes for this service, straight from its standard-charges file.

Outpatient / ER

$2,822cash price (self-pay)
$4,032list price
$294–$4,032range insurers pay
Insurance planNegotiated rate
Molina Medicaid | Medicaid$294
BCBS HMO/Blue Essentials | HMO$837
BCBS PPO/Traditional | PPO$930
UnitedHealthcare Commercial | PPO$1,149
Cigna Commercial | PPO/HMO$2,157
Humana Medicare Advantage | Medicare Advantage$2,177
Aetna Medicare Advantage | Medicare Advantage$2,177
BCBS Medicare Advantage | Medicare Advantage$2,199
Aetna Commercial | PPO/HMO$2,903
TML Intergovernmental Employee Benefits | Unknown$3,427
Superior | Medicaid$4,032

Inpatient

$2,822cash price (self-pay)
$4,032list price
$1.00–$3,628range insurers pay
Insurance planNegotiated rate
Scott and White Medicaid | Medicaid$1.00
Wellpoint Medicaid | Medicaid$1.00
Community Health Choice Medicaid | Medicaid$1.00
Molina Medicaid | Medicaid$1.00
BCBS HMO/Blue Essentials | HMO$2,419
BCBS Blue Advantage | Blue Advantage$2,419
BCBS PPO/Traditional | PPO$2,419
Choice One Inc EPO/POS | EPO$2,903
Medavant Healthcare Solutions | Unknown$3,225
Choice One Inc PPO | PPO$3,225
Private Healthcare Systems | Unknown$3,225
ChoiceCare Network PPO, POS, Med Adv | Medicare Advantage$3,225
Accountable Health Plans of America | PPO$3,427
ProAmerica PPO | PPO$3,427
MedCorp Southwest | Unknown$3,427
Great West Healthcare of Texas | Unknown$3,548
Health Industry Trust and Welfare Plan | Unknown$3,628
Galaxy Health Network | Unknown$3,628
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All common services at CAHRMC, dba Rice Medical Center