MRI lower back without contrast at Hca Houston West. CPT 72148.
What Hca Houston West publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$19,795cash price (self-pay)
$19,795list price
$193–$17,816range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MGMCD | $203 |
| United | NarrowNetworkIndivExchange | $437 |
| United | AllPayerAppendix | $518 |
| United | SmallGroup | $518 |
| Superior Health Plan | CHIP | $1,188 |
| Superior Health Plan | CHPFC | $1,188 |
| Superior Health Plan | STAR | $1,188 |
| Superior Health Plan | STARKids | $1,188 |
| Superior Health Plan | STARPLUS | $1,188 |
| Aetna | ASAPPO | $1,361 |
| Aetna | COMMHMO | $1,784 |
| Cigna | CSN | $2,127 |
| Aetna | ASAHMO | $2,268 |
| Aetna | ASAPOS | $2,268 |
| Cigna | OpenAccessPlus | $2,304 |
| Cigna | PPO | $2,739 |
| United | OptionsPPO | $3,326 |
| Texas Workforce Commission | WCOMP | $4,751 |
| Humana | HMO | $6,558 |
| Humana | PPO | $6,558 |
| BCBS | Traditional | $6,928 |
| Christus (USFHP) | TRICARE | $7,918 |
| HealthSmart Preferred Care | ACCEL | $8,512 |
| Fidelis SecureCare of TX | MGMCR | $8,908 |
| United | GlobalAppendix | $8,908 |
| Coventry National First Health | COMM | $10,254 |
| Physicians Cooperative of Texas | WC | $10,887 |
| Rockport Workers Comp | COMM | $10,887 |
| Independent Medical System | COMM | $11,877 |
| National Healthcare Solutions | COMM | $11,877 |
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