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

What Refugio County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 22, 2026.

Outpatient / ER

$2,360cash price (self-pay)
$2,950list price
$864–$2,360range insurers pay
Insurance planNegotiated rate
BCBS Blue Adv HMO | BCBS Blue Adv HMO$864
BCBS Blue/PPO/Trad-All Other Plans | BCBS Blue/PPO/Trad-All Other Plan$983
UHC Mcr Adv | UHC Mcr Adv$1,180
Humana Mcr Adv-All Plans | Humana Mcr Adv-All Plans$1,192
UHC All Payer-All Other Plans | UHC All Payer-All Other Plans$2,360
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All common services at Refugio County Memorial Hospital