MRI lower back without contrast at CHRISTUS Santa Rosa Hospital - Westover Hills. CPT 72148.
What CHRISTUS Santa Rosa Hospital - Westover Hills publishes for this service, straight from its standard-charges file, last updated January 13, 2026.
Outpatient / ER
$538cash price (self-pay)
$6,412list price
$113–$8,419range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MM | $227 |
| Allwell | Superior Health MM | $227 |
| Blue Cross Blue Shield of Texas | MM | $227 |
| Christus Health | Med Adv MM | $227 |
| Coventry | First Health MM | $227 |
| Amerigroup | MM | $245 |
| Devoted Health Plan | MM | $245 |
| American Health Medicare | Advantage MM | $250 |
| Aetna | Chip KM | $294 |
| Aetna | Star KM | $294 |
| Blue Cross Blue Shield Of Texas | Star Chip KM | $294 |
| Community First | Chip KM | $294 |
| Community First | Star KM | $294 |
| Community First | Star Kids KM | $294 |
| Driscoll Children's Health Plan | Chip KM | $294 |
| Driscoll Children's Health Plan | Star KM | $294 |
| Driscoll Children's Health Plan | Star Kids KM | $294 |
| El Paso First | KM | $294 |
| Christus Health | HIX | $318 |
| Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | $655 |
| Amerigroup | Chip KM | $769 |
| Amerigroup | Star KM | $769 |
| Amerigroup | Star Kids KM | $769 |
| Amerigroup | Star Plus KM | $769 |
| Community First | Med Adv MM | $769 |
| Blue Cross Blue Shield of Texas | HMO | $804 |
| Blue Cross Blue Shield of Texas | HEB | $813 |
| Community First Health Plan | HMO | $880 |
| Blue Cross Blue Shield of Texas | PPO | $904 |
| Blue Cross Blue Shield of Texas | Traditional | $951 |
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All common services at CHRISTUS Santa Rosa Hospital - Westover Hills