MRI lower back without contrast at Hca Houston Tomball. CPT 72148.
What Hca Houston Tomball publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$19,070cash price (self-pay)
$19,070list price
$197–$16,210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | MCDCHIPBH | $197 |
| Amerigroup | MGMCD | $197 |
| Community Health Choice MCD | CHIP | $199 |
| Community Health Choice MCD | CHIPPerinatal | $199 |
| Community Health Choice MCD | STAR | $199 |
| Community Health Choice MCD | STAR+PLUS | $199 |
| United | MGMCD | $203 |
| Aetna Better Health | MGMCD | $215 |
| Molina Healthcare | CHIP | $217 |
| Molina Healthcare | STAR | $217 |
| Molina Healthcare | STARKIDS | $217 |
| Molina Healthcare | STARPLUS | $217 |
| Humana | MCD | $246 |
| Texas Childrens Health Plans | CHIP | $296 |
| Texas Childrens Health Plans | STAR | $296 |
| Texas Childrens Health Plans | STARKIDS | $296 |
| United | NarrowNetworkIndivExchange | $437 |
| BCBS | MyBlueHealth | $501 |
| United | AllPayerAppendix | $518 |
| United | SmallGroup | $518 |
| BCBS | Bav | $578 |
| BCBS | HMO | $879 |
| BCBS | Eposoa | $962 |
| BCBS | PPO | $1,044 |
| Aetna | NBHMO | $1,679 |
| Aetna | NBPOS | $1,679 |
| Aetna | NBPPO | $1,679 |
| Aetna | COMMHMO | $1,784 |
| Aetna | COMMPOS | $1,784 |
| Aetna | COMMPPO | $1,784 |
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