MRI lower back without contrast at Medical City Sachse Hospital. CPT 72148.
What Medical City Sachse 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
$217–$8,180range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Parkland Community Health Plan | MCD | $217 |
| Molina | CHIP | $219 |
| Molina | MCDSTAR | $219 |
| Molina | STAR+PLUS | $219 |
| Molina | STARKIDS | $219 |
| BCBS | BlueAdvantageHMO | $294 |
| BCBS | MyBlueHealth | $294 |
| 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 |
| BCBS | BlueEssentials | $907 |
| BCBS | BlueEssentialsAccess | $907 |
| BCBS | Eposoa | $951 |
| BCBS | PPO | $995 |
| Aetna | NewBusiness | $1,046 |
| Aetna | COMM | $1,117 |
| Aetna | Meritain | $1,117 |
| Cigna | IFP | $1,299 |
| Aetna | OON | $1,321 |
| Cigna | QHP | $1,347 |
| United | OptionsPPO | $1,626 |
| Healthcare Highways | CityofPlano | $3,253 |
| BCBS | Traditional | $3,984 |
| United | GlobalBenefitPlan | $4,331 |
| Aetna | ASA | $4,860 |
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