MRI lower back without contrast at Pampa Regional Medical Center. CPT 72148.
What Pampa Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$825cash price (self-pay)
$4,346list price
$95.08–$3,476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Coventry FKA Aetna Workers Compensation | $95.08 |
| Texas Blue Bonnet Health Plan | Texas Blue Bonnet Health Plan Medicare | $97.02 |
| Tricare | Tricare | $97.02 |
| Triwest ( BCBS ) | Triwest BCBS | $97.02 |
| Molina | Molina Medicare Advantage | $102 |
| PROVIDER PARTNERS HEALTH PLAN | Provider Partners Health Plan Medicare | $102 |
| Imperial Insurance Companies | Imperial Insurance Companies | $103 |
| Employer Direct Healthcare | Employer Direct Healthcare | $136 |
| Corporate Remedies (WC) | Corporate Remedies Workers Compensation | $146 |
| United Healthcare | UHC Commercial Exchange | $146 |
| Molina | Molina Insurance Exchange | $160 |
| Texas Blue Bonnet Health Plan | Texas Blue Bonnet Health Plan Commerci | $160 |
| BCBS | BCBS HMO Advantage | $203 |
| Traditional Medicaid | Traditional Medicaid | $294 |
| Amerigroup | Amerigroup Medicaid | $303 |
| BCBS | BCBS Medicaid | $303 |
| Superior Health Plan | Superior Health Plan STAR Medicaid | $303 |
| Molina | Molina STAR Medicaid | $321 |
| United Healthcare | UHC Commercial All Payor | $354 |
| Superior Health Plan | Superior Health Plan STAR KIDS | $382 |
| Superior Health Plan | Superior Health Plan STAR PLUS Medicaid | $400 |
| Molina | Molina STAR PLUS Medicaid | $424 |
| BCBS | BCBS HMO | $941 |
| BCBS | BCBS PPO | $1,046 |
| BCBS | BCBS Traditional | $1,046 |
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