MRI lower back without contrast at Limestone Medical Center. CPT 72148.
What Limestone Medical Center publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$2,369cash price (self-pay)
$3,949list price
$232–$3,159range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS PPO/Traditional | PPO/Traditional | $232 |
| BCBS HMO Blue Advantage | HMO | $232 |
| Texas Medicaid | UNKNOWN | $294 |
| WellMed Medicare Advantage | Medicare Advantage | $1,145 |
| United Health - Medicare Advantage | Medicare Advantage | $1,145 |
| BCBS Medicare Advantage | Medicare Advantage | $1,145 |
| Humana Medicare Advantage | Medicare Advantage | $1,145 |
| PPHP | Medicare Advantage | $1,168 |
| UHC Commercial | PPO/HMO | $2,441 |
| Cigna Commercial | PPO | $2,764 |
| Humana Commercial | PPO/HMO | $2,962 |
| Aetna Commercial | PPO/HMO | $3,159 |
Inpatient
$2,369cash price (self-pay)
$3,949list price
$2,441–$3,159range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Commercial | PPO/HMO | $2,441 |
| Humana Commercial | PPO/HMO | $2,962 |
| Aetna Commercial | PPO/HMO | $3,159 |
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