MRI lower back without contrast at Palacios Community Medical Center. CPT 72148.
What Palacios Community Medical Center publishes for this service, straight from its standard-charges file, last updated February 1, 2026.
Outpatient / ER
$1,980cash price (self-pay)
$1,980list price
$643–$1,794range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Sheild | BAV | $643 |
| Blue Cross Blue Shield | PAR | $755 |
| Blue Cross Blue Shield | PPO | $755 |
| Aetna Health Inc. | Medicare Advantage | $1,049 |
| Molina | Medicare Advantage | $1,049 |
| Aetna Health Inc. | Commercial | $1,386 |
| Blue Cross Blue Shield | Managed Medicaid | $1,794 |
| Community Health Choice | Managed Medicaid | $1,794 |
| Molina | Managed Medicaid | $1,794 |
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