MRI lower back without contrast at Heart Hospital Of Austin At St Davids Round Rock. CPT 72148.
What Heart Hospital Of Austin At St Davids Round Rock publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,439cash price (self-pay)
$5,439list price
$197–$4,623range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| St David’s Hospice | MGMCD | $197 |
| United | MGMCD | $203 |
| BCBS | Chip | $207 |
| BCBS | Mcd | $207 |
| Molina Healthcare | CHIP | $217 |
| Molina Healthcare | MCDSTAR | $217 |
| Molina Healthcare | STAR+PLUS | $217 |
| Molina Healthcare | STARKIDS | $217 |
| Humana | MGMCD | $246 |
| Sendero | MCD | $246 |
| Aetna Better Health | MCD | $248 |
| United | NarrowNetworkHIX | $352 |
| Amerigroup | CHIP | $418 |
| Amerigroup | MCD | $418 |
| United | AllPayerAppendix | $518 |
| United | SmallGroup | $518 |
| BCBS | MyBlueHealth | $531 |
| BCBS | BlueAdvantage | $648 |
| BCBS | BlueEssentials | $897 |
| BCBS | BlueEssentialsAccess | $897 |
| BCBS | Eposoa | $993 |
| BCBS | PPO | $1,088 |
| Humana | HMO | $1,511 |
| Humana | PPO | $1,511 |
| IMO Med - Select Network | WC | $1,632 |
| BCBS | Traditional | $1,735 |
| Aetna | NarrowNetwork | $1,911 |
| Aetna | COMM | $2,652 |
| Aetna | Meritain | $2,652 |
| Comanche County | LOCALGOV | $2,720 |
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All common services at Heart Hospital Of Austin At St Davids Round Rock