MRI lower back without contrast at Medical City Surgical Hospital Alliance. CPT 72148.
What Medical City Surgical Hospital Alliance publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$9,795cash price (self-pay)
$9,795list price
$197–$9,795range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP | $197 |
| Amerigroup | MGMCD | $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 |
| BCBS | BlueAdvantageHMO | $294 |
| BCBS | MyBlueHealth | $294 |
| United | NarrowNetworkIndivExchange | $314 |
| United | SmallGroup | $314 |
| United | AllPayerAppendix | $518 |
| Superior Health Plan | CHIP | $686 |
| Superior Health Plan | MCDSTAR | $686 |
| Superior Health Plan | STARHealth | $686 |
| Superior Health Plan | STARKids | $686 |
| Superior Health Plan | STARPLUS | $686 |
| BCBS | BlueEssentials | $907 |
| BCBS | BlueEssentialsAccess | $907 |
| BCBS | Eposoa | $951 |
| BCBS | PPO | $995 |
| Aetna | NewBusiness | $1,046 |
| Aetna | COMM | $1,117 |
| Aetna | Meritain | $1,117 |
| Aetna | OON | $1,321 |
| Cigna | IFP | $1,322 |
| Cigna | QHP | $1,371 |
| United | OptionsPPO | $2,165 |
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All common services at Medical City Surgical Hospital Alliance