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MRI lower back without contrast at Pecos County Memorial Hospital. CPT 72148.

What Pecos County Memorial Hospital publishes for this service, straight from its standard-charges file.

Outpatient / ER

$1,673cash price (self-pay)
$2,231list price
$1,004–$2,008range insurers pay
Insurance planNegotiated rate
Aetna | Commercial$1,004
Cigna | Commercial$1,339
Blue Cross and Blue Shield | HMO$1,406
Blue Cross and Blue Shield | Essentials$1,495
Blue Cross and Blue Shield | PPO$1,562
Humana | Commercial$1,785
MultiPlan | PPO$2,008
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All common services at Pecos County Memorial Hospital