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MRI lower back without contrast at Cogdell Memorial Hospital. CPT 72148.

What Cogdell Memorial Hospital publishes for this service, straight from its standard-charges file.

Outpatient / ER

$2,283cash price (self-pay)
$2,283list price
$1,119–$2,055range insurers pay
Insurance planNegotiated rate
Aetna | Medicare Advantage$1,119
Humana | Medicare Advantage$1,119
WellMed | Medicare Advantage$1,119
Blue Cross Blue Shield of Texas | Medicare Advantage$1,130
Cigna | Commercial$1,324
Blue Cross Blue Shield of Texas | HMO$1,484
Blue Cross Blue Shield of Texas | PPO$1,484
FirstCare | Baylor Scott Health Plan$1,484
Aetna | Commercial$1,941
FirstCare | Commercial$2,055
United Healthcare | Commercial$2,055
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All common services at Cogdell Memorial Hospital