MRI lower back without contrast at Legent Hospital Northwest Houston, LLC. CPT 72148.
What Legent Hospital Northwest Houston, LLC publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$880cash price (self-pay)
$1,760list price
$171–$420range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Default | $171 |
| UHC Group Medicare Advantage | Medicare Advantage | $200 |
| Tricare West | Default | $216 |
| Aetna Medicare Advantage | Medicare Advantage | $235 |
| Blue Cross Blue Shield of TX Med Adv 66006 | Medicare Advantage | $235 |
| Humana Advantage Care Plans Med Advantage | Medicare Advantage | $235 |
| Medicare A TX J4 TrailBlazer | Default | $235 |
| Cigna | Default | $352 |
| Blue Cross Blue Shield of TX | Default | $368 |
| United Healthcare | Default | $420 |
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All common services at Legent Hospital Northwest Houston, LLC