MRI lower back without contrast at Northwest Texas Healthcare System. CPT 72148.
What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
$11,861list price
$111–$9,488range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma | Medicaid | $111 |
| Superior | Medicaid | $197 |
| Molina | Medicaid | $207 |
| First_care_chip | Medicaid | $217 |
| Wellpoint_starkids | Medicaid | $542 |
| Superior_starkids | Medicaid | $596 |
| Amerigroup | Medicaid | $597 |
| First_care_star | Medicaid | $657 |
| Superior_star | Medicaid | $657 |
| Superior_star_plus | Medicaid | $704 |
| Wellpoint_ Amgrp_star_plus | Medicaid | $704 |
| First_care_star_plus | Medicaid | $774 |
| Blue_cross_blue_shield_of_tx | Advantage | $799 |
| Blue_cross_blue_shield_of_tx | HMO | $872 |
| Blue_cross_blue_shield_of_tx | Managed_care | $937 |
| Blue_cross_blue_shield_of_tx | PPO | $969 |
| Aetna | Managed_care | $2,372 |
| Scott_and_white_healthplan | Managed_care | $3,202 |
| Cigna | Managed_care | $3,938 |
| Multiplan | Managed_care | $9,488 |
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