MRI lower back without contrast at Medical City Plano Hospital. CPT 72148.
What Medical City Plano Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$9,624cash price (self-pay)
$9,624list price
$197–$9,624range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $219 |
| Molina | MCDSTAR | $219 |
| Molina | STAR+PLUS | $219 |
| Molina | STARKIDS | $219 |
| United | NarrowNetworkIndivExchange | $314 |
| United | SmallGroup | $314 |
| United | AllPayerAppendix | $518 |
| Superior Health Plan | CHIP | $674 |
| Superior Health Plan | MCDSTAR | $674 |
| Superior Health Plan | STARHealth | $674 |
| Superior Health Plan | STARKids | $674 |
| Superior Health Plan | STARPLUS | $674 |
| Cigna | IFP | $1,299 |
| Cigna | QHP | $1,347 |
| LifeCare Hospitals | MGMCD | $2,887 |
| LifeCare Hospitals | MGMCR | $2,887 |
| Healthcare Highways | CityofPlano | $3,253 |
| Prominence Health Plan | HIX | $3,850 |
| BCBS | Traditional | $3,984 |
| City of McKinney | COMM | $4,331 |
| Fidelis SecureCare | MGMCR | $4,331 |
| National ChoiceCare | WCOMP | $4,812 |
| Aetna | ASA | $4,860 |
| Aetna | WCOMP | $5,293 |
| PC Texas Partners | WCOMP | $5,293 |
| Physicians Coop of TX | MGMCR | $5,293 |
| Rockport Health Group | WORKERSCOMP | $5,293 |
| Averde Health, Inc | PPO | $5,582 |
| Aetna Coventry First Health | EXCLUSIVE | $5,659 |
| Aetna Coventry First Health | NONEXCLUSIVE | $5,659 |
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