MRI lower back without contrast at Methodist Midlothian Medical Center. CPT 72148.
What Methodist Midlothian Medical Center publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$1,473cash price (self-pay)
$4,910list price
$187–$4,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Medicaid Managed Care [5015] | Mhs Hb United Medicai | $187 |
| Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Mlmc | $240 |
| United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C | $240 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] | Mhs Hb Unin | $240 |
| Aetna Medicare Managed Care [7000] | Mhs Hb Aetna Golden Mlmc | $240 |
| BCBS Medicare Managed Care [7002] | Mhs Hb BCBS Medicare Advantage Mlm | $240 |
| Generic Medicare Managed Care [7004] | Mhs Hb Managed Medicare Part A | $240 |
| Globalhealth [1003] | Mhs Hb Global Health Mlmc | $252 |
| Care N Care Medicare Managed Care [7003] | Mhs Hb Scott And White Medi | $252 |
| Molina Medicare Managed Care [7007] | Mhs Hb Molina Medicare Mlmc | $252 |
| Humana Commercial [2051] | Mhs Hb Humana Medicare Mlmc | $254 |
| Wellpoint Medicare Managed Care [7001] | Mhs Hb Managed Medicare 106% | $254 |
| BCBS Medicare Managed Care [7002] | Mhs Hb Managed Medicare 106% Mlmc | $254 |
| Humana Medicare Managed Care [7005] | Mhs Hb Humana Medicare Mlmc | $254 |
| United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Mlmc | $256 |
| Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Mlmc | $312 |
| Bright Healthcare [2222] | Mhs Hb Bright Health Mlmc | $336 |
| Molina [3017] | Mhs Hb Molina Marketplace Mlmc | $348 |
| Wellpoint Marketplace Exchange [3071] | Mhs Hb Wellpoint Texas Essenti | $372 |
| Kempton Group Administrators, Tower Extrusions [3061] | Mhs Hb Tower E | $384 |
| Aetna [3000] | Mhs Hb Aetna Exchange Mlmc | $388 |
| Aetna [3000] | Mhs Hb Aetna Cvs Mlmc | $388 |
| Allied National [2031] | Mhs Hb 90 Degree Mlmc | $395 |
| Entrust/90 Degree [2058] | Mhs Hb 90 Degree Mlmc | $395 |
| 90 Degree Benefit [3057] | Mhs Hb 90 Degree Mlmc | $395 |
| Ambetter Superior [3051] | Mhs Hb Ambetter Superior Mlmc | $410 |
| Imperial Insurance Companies [3073] | Mhs Hb Imperial Managed Care Mlm | $431 |
| Cigna [3004] | Mhs Hb Custom Ink Mlmc | $443 |
| Web Tpa [3049] | Mhs Hb Custom Ink Mlmc | $443 |
| Evry Health [1013] | Mhs Hb Evry Mlmc | $479 |
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