MRI lower back without contrast at Covenant Children's Hospital. CPT 72148.
What Covenant Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$562cash price (self-pay)
$7,572list price
$569–$1,825range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Par Traditional | $569 |
| Scott And White | Individual Bsw Premier Exchange | $988 |
| Bcbs | Ppo | $1,102 |
| Bcbs | Blue Essentials Hmo | $1,144 |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $1,144 |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercia | $1,196 |
| Scott And White | Group Bsw Plus All Commercial Plans | $1,825 |
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