MRI lower back without contrast at Rolling Plains Memorial Hospital. CPT 72148.
What Rolling Plains Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,676cash price (self-pay)
$2,578list price
$1,805–$2,191range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana (Choice Care) | Commercial | $1,805 |
| United Healthcare | Commercial | $1,949 |
| Blue Cross and Blue Shield | HMO | $2,062 |
| Blue Cross and Blue Shield | PPO | $2,062 |
| Blue Cross and Blue Shield | Traditional | $2,062 |
| Cigna | Commercial | $2,078 |
| Aetna | Commercial | $2,191 |
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