MRI lower back without contrast at Medical City Arlington Hospital. CPT 72148.
What Medical City Arlington Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$13,307cash price (self-pay)
$13,307list price
$194–$13,307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Texas Health Network | Mcd | $194 |
| Amerigroup | CHIP | $197 |
| Amerigroup | MGMCD | $197 |
| Cook Childrens Health Plan | CHIP | $197 |
| Cook Childrens Health Plan | STAR | $197 |
| Parkland Community Health Plan | MCD | $197 |
| United | CHIP | $197 |
| United | STAR | $197 |
| United | STARKids | $197 |
| United | STARPerinate | $197 |
| United | STARPLUS | $197 |
| Cigna Healthspring | MGMCD | $207 |
| Aetna Better Health | CHIP | $213 |
| Aetna Better Health | MCD | $213 |
| Molina | CHIP | $219 |
| Molina | MCDSTAR | $219 |
| Molina | STAR+PLUS | $219 |
| Molina | STARKIDS | $219 |
| Humana | MGMCD | $246 |
| BCBS | BlueAdvantageHMO | $294 |
| BCBS | MyBlueHealth | $294 |
| United | NarrowNetworkIndivExchange | $314 |
| United | SmallGroup | $314 |
| Imaging Providers of Texas | HMOBlue | $450 |
| United | AllPayerAppendix | $518 |
| BCBS | BlueEssentials | $907 |
| BCBS | BlueEssentialsAccess | $907 |
| BCBS | Eposoa | $951 |
| BCBS | PPO | $995 |
| Aetna | NewBusiness | $1,046 |
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