MRI lower back without contrast at Hendrick Medical Center. CPT 72148.
What Hendrick Medical Center publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$4,640cash price (self-pay)
$9,280list price
$207–$8,260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| FirstCare Star | Managed Medicaid | $207 |
| Superior Health Plan | Managed Medicaid/CHIP | $237 |
| Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | $237 |
| Blue Cross Blue Shield of Texas | Marketplace | $741 |
| Blue Cross Blue Shield of Texas | HMO | $785 |
| Blue Cross Blue Shield of Texas | PPO | $872 |
| Baylor Scott and White Health Plan | Commercial | $2,626 |
| UMR Hendrick Employee Plan | Commercial | $3,619 |
| United Healthcare | Commercial | $3,675 |
| Blue Cross Blue Shield of Texas | Traditional | $3,898 |
| Cigna | Commercial | $5,104 |
| Aetna | Commercial | $5,847 |
| Healthsmart | Commercial | $6,960 |
| Private Healthcare Systems | Commercial | $7,424 |
| Omni Networks | Commercial | $7,888 |
| MultiPlan | Commercial | $8,260 |
Inpatient
$4,640cash price (self-pay)
$9,280list price
$1,670–$8,260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Texas | Marketplace | $1,670 |
| Blue Cross Blue Shield of Texas | HMO | $1,856 |
| Blue Cross Blue Shield of Texas | PPO | $1,949 |
| Baylor Scott and White Health Plan | Commercial | $2,626 |
| United Healthcare | Commercial | $3,721 |
| Blue Cross Blue Shield of Texas | Traditional | $3,898 |
| UMR Hendrick Employee Plan | Commercial | $5,104 |
| Aetna | Commercial | $5,847 |
| Private Healthcare Systems | Commercial | $6,032 |
| Omni Networks | Commercial | $6,960 |
| MultiPlan | Commercial | $8,260 |
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