MRI lower back without contrast at Dimmit Regional Hospital. CPT 72148.
What Dimmit Regional Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$617cash price (self-pay)
$1,029list price
$391–$988range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $391 |
| Aetna | Commercial | $875 |
| Blue Cross Blue Shield of Texas - Blue Advantage | HMO | $895 |
| Blue Cross Blue Shield of Texas | Blue Essentials | $988 |
| Blue Cross Blue Shield of Texas | PPO | $988 |
| Blue Cross Blue Shield of Texas | Traditional | $988 |
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