MRI lower back without contrast at Glen Rose Medical Center. CPT 72148.
What Glen Rose Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,192cash price (self-pay)
$1,192list price
$405–$1,132range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Flexcare | $405 |
| Cigna | PPO | $405 |
| Cigna | HMO | $405 |
| Cook Children's | Health Plan Star | $548 |
| Aetna | HMO | $727 |
| Blue Cross Blue Shield | POS | $775 |
| Rightcare Scott and White | Commercial | $775 |
| Aetna | Non HMO | $834 |
| Aetna | PPO | $834 |
| Blue Cross Blue Shield | HMO | $870 |
| Scott and White | Texas HMO | $894 |
| Anthem Blue Cross | AmeriHealth HMO | $954 |
| Humana | Commercial HMO | $1,073 |
| Humana | PPO | $1,132 |
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