MRI lower back without contrast at Medical Center Of Southeast Texas. CPT 72148.
What Medical Center Of Southeast Texas publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$236cash price (self-pay)
$9,930list price
$197–$9,930range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Texas Childrens Health Plan | Texas Childrens Health Plan | $197 |
| Community Health Choice CHIP | Community Health Choice CHIP | $207 |
| Molina Medicaid | Molina Medicaid | $207 |
| Texas Childrens Health Plan STAR KIDS | Texas Childrens Health Plan ST | $207 |
| United Healthcare Medicaid Star/Chips | United Healthcare Medicaid Sta | $207 |
| BCBS of Texas Medicare Adv HMO | BCBS of Texas Medicare Adv HMO | $236 |
| Healthspring Medicare Advantage | Healthspring Medicare Advantage | $236 |
| Tricare | Tricare | $240 |
| BCBS of Texas Premier | BCBS of Texas Premier | $270 |
| Community Health Choice HIX | Community Health Choice HIX | $288 |
| Wellpoint Amerigroup Star Kids/CHIPS | Wellpoint Amerigroup Star Kids/ | $325 |
| Wellpoint Amerigroup STAR UHRIP | Wellpoint Amerigroup STAR UHRIP | $362 |
| Community Health Choice STAR UHRIP | Community Health Choice STAR UHRI | $380 |
| Molina Healthcare STAR UHRIP | Molina Healthcare STAR UHRIP | $380 |
| United Healthcare STAR UHRIP | United Healthcare STAR UHRIP | $380 |
| ELAP Services | ELAP Services | $465 |
| Wellpoint Amerigroup STAR PLUS UHRIP | Wellpoint Amerigroup STAR PLUS | $514 |
| Molina Healthcare STAR PLUS UHRIP | Molina Healthcare STAR PLUS UHRIP | $540 |
| United Healthcare STAR PLUS UHRIP | United Healthcare STAR PLUS UHRIP | $540 |
| Superior Health Plan Medicaid | Superior Health Plan Medicaid | $550 |
| Cigna Commercial | Cigna Commercial | $726 |
| BCBS of Texas HMO | BCBS of Texas HMO | $1,272 |
| Aetna HMO | Aetna HMO | $1,335 |
| Texas Childrens Health Plan Star UHRIP | Texas Childrens Health Plan S | $1,431 |
| United Healthcare Commercial | United Healthcare Commercial | $1,445 |
| Humana Commercial | Humana Commercial | $1,588 |
| Texas Childrens Health Plan STAR PLUS UHRIP | Texas Childrens Health P | $2,029 |
| BCBS of Texas Traditional | BCBS of Texas Traditional | $4,101 |
| Magellan Behavioral Health | Magellan Behavioral Health | $5,958 |
| BCBS of Texas Blue Advantage HMO HIX | BCBS of Texas Blue Advantage HM | $5,968 |
Inpatient
—cash price (self-pay)
$9,930list price
$4,101–$9,930range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of Texas Traditional | BCBS of Texas Traditional | $4,101 |
| Magellan Behavioral Health | Magellan Behavioral Health | $5,958 |
| Galaxy Health Network | Galaxy Health Network | $6,951 |
| Texas Municipal League | Texas Municipal League | $6,951 |
| Multiplan | Multiplan | $7,944 |
| United Behavioral Health | United Behavioral Health | $9,930 |
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