MRI lower back without contrast at St. David's Georgetown. CPT 72148.
What St. David's Georgetown publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,439cash price (self-pay)
$5,439list price
$197–$4,623range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| St David’s Hospice | MGMCD | $197 |
| United | MGMCD | $203 |
| BCBS | Chip | $207 |
| BCBS | Mcd | $207 |
| Molina Healthcare | CHIP | $217 |
| Molina Healthcare | MCDSTAR | $217 |
| Molina Healthcare | STAR+PLUS | $217 |
| Molina Healthcare | STARKIDS | $217 |
| Humana | MGMCD | $246 |
| Sendero | MCD | $246 |
| Aetna Better Health | MCD | $248 |
| United | NarrowNetworkHIX | $352 |
| Amerigroup | CHIP | $418 |
| Amerigroup | MCD | $418 |
| United | AllPayerAppendix | $518 |
| United | SmallGroup | $518 |
| BCBS | MyBlueHealth | $531 |
| BCBS | BlueAdvantage | $648 |
| BCBS | BlueEssentials | $897 |
| BCBS | BlueEssentialsAccess | $897 |
| BCBS | Eposoa | $993 |
| BCBS | PPO | $1,088 |
| Humana | HMO | $1,511 |
| Humana | PPO | $1,511 |
| IMO Med - Select Network | WC | $1,632 |
| BCBS | Traditional | $1,735 |
| Aetna | NarrowNetwork | $1,911 |
| Aetna | COMM | $2,652 |
| Aetna | Meritain | $2,652 |
| Comanche County | LOCALGOV | $2,720 |
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