MRI lower back without contrast at Palo Pinto General Hospital. CPT 72148.
What Palo Pinto General Hospital publishes for this service, straight from its standard-charges file, last updated July 8, 2026.
Outpatient / ER
$688cash price (self-pay)
$1,376list price
$197–$1,248range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Community Plan | EPO | $197 |
| Aetna Medicare Advantage | HMO | $239 |
| Humana Medicare | HMO | $239 |
| Oscar | PPO | $250 |
| Ambetter Commercial Exchange | POS | $274 |
| Molina Medicaid | EPO | $294 |
| Wellpoint Medicaid | EPO | $294 |
| BCBS TX Blue Essentials | HMO | $564 |
| BCBS TX Blue Advantage | PPO | $564 |
| BCBS TX PPO | PPO | $594 |
| UHC Commercial | PPO | $889 |
| Aetna Commercial | PPO | $894 |
| Baylor Scott and White Commercial | POS | $950 |
| Cigna | PPO | $1,248 |
Inpatient
$688cash price (self-pay)
$1,376list price
$458–$1,376range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TX Blue Essentials | HMO | $458 |
| BCBS TX Blue Advantage | PPO | $458 |
| BCBS TX PPO | PPO | $482 |
| Molina Medicaid | EPO | $977 |
| Wellpoint Medicaid | EPO | $977 |
| UHC Community Plan | EPO | $977 |
| Oscar | PPO | $1,376 |
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