MRI lower back without contrast at Iraan General Hospital. CPT 72148.
What Iraan General Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,519cash price (self-pay)
$3,598list price
$720–$6,344range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $720 |
| Aetna | Commercial | $2,878 |
| Blue Cross Blue Shield - Tx | Essentials Network Participation | $3,094 |
| Blue Cross Blue Shield - Tx | Commercial | $3,238 |
| Blue Cross Blue Shield - Tx | PPO | $3,238 |
| Superior HealthPlan | Medicare HMO | $4,466 |
| Superior HealthPlan | Medicare PPO | $4,466 |
| Superior HealthPlan | Commercial | $6,344 |
| Superior HealthPlan | EPO | $6,344 |
| Superior HealthPlan | HMO | $6,344 |
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