MRI lower back without contrast at Medina Regional Hospital. CPT 72148.
What Medina Regional Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.
Outpatient / ER
$2,790cash price (self-pay)
$3,100list price
$294–$3,100range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Managed Medicaid | $294 |
| Amerigroup | CHIP/Managed Medicaid | $294 |
| Superior Health Plan | Managed Medicaid | $294 |
| Amerigroup | Star Plus | $294 |
| Community First Health Plan | CHIP | $309 |
| Curative | Commercial EPO/PPO | $584 |
| Cigna | Commercial | $600 |
| United Healthcare | Medicare Advantage | $744 |
| Medicare | Medicare | $744 |
| Superior Health Plan | Medicare Advantage | $759 |
| Community First Health Plan | HIE | $930 |
| Wellpoint | Commercial | $1,004 |
| Amerivantage | Medicare Advantage | $1,023 |
| Aetna | Medicare Advantage | $1,085 |
| Blue Cross Blue Shield of Texas | Traditional/PPO/Blue Essentitals | $1,099 |
| Superior Health Plan | Commercial HMO/EPO | $1,201 |
| Blue Advantage | HMO | $1,550 |
| Aetna | Commercial | $1,860 |
| Community First Health Plan | Managed Medicaid | $2,170 |
| United Healthcare | Commercial | $2,325 |
| Benefit Administrators | Commercial | $3,100 |
| Community First Health Plan | HMO | $3,100 |
Inpatient
$2,790cash price (self-pay)
$3,100list price
$1,550–$2,790range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Advantage | HMO | $1,550 |
| Curative | Commercial EPO/PPO | $1,860 |
| Community First Health Plan | HMO | $2,790 |
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