MRI lower back without contrast at Memorial Hermann Imaging Center (Upper Kirby). CPT 72148.
What Memorial Hermann Imaging Center (Upper Kirby) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,930cash price (self-pay)
$6,031list price
$240–$455range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $240 |
| Community Health | Medicare Managed Care Plan | $264 |
| Procare Advantage | Medicare Managed Care Plan | $276 |
| Community Health | Premier/Select Exchange | $360 |
| Aetna | Exchange | $372 |
| Community Health | Ultra Exchange | $384 |
| 90 Degrees | All Commercial Plans | $455 |
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All common services at Memorial Hermann Imaging Center (Upper Kirby)