MRI lower back without contrast at Nacogdoches Memorial Hospital. CPT 72148.
What Nacogdoches Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$121cash price (self-pay)
$1,376list price
$222–$2,347range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Advantage | $239 |
| WellMed | Medicare Advantage | $239 |
| HealthSpring | Medicare Advantage | $250 |
| Molina | Medicare Advantange | $250 |
| United Healthcare | Commercial | $752 |
| Blue Cross Blue Shield of Texas | PPO | $757 |
| Blue Cross Blue Shield of Texas | Commercial | $757 |
| Galaxy | PPO | $895 |
| USA Health Network | Commercial | $963 |
| Aetna | Commercial | $1,101 |
| Blue Cross Blue Shield of Texas | HMO | $1,101 |
| HealthSmart | Commercial | $1,101 |
| Phcs | PPO | $1,101 |
| HIET Benefit Plan | HIET | $1,376 |
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