MRI lower back without contrast at St. David's Surgical Hospital. CPT 72148.
What St. David's Surgical Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,333cash price (self-pay)
$1,333list price
$66.65–$3,118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | CHIP | $66.65 |
| Superior Health Plan | CHPFC | $66.65 |
| Superior Health Plan | STAR | $66.65 |
| Superior Health Plan | STARPLUS | $66.65 |
| St David’s Hospice | MGMCD | $197 |
| Superior Health Plan | AmbetterEPO | $227 |
| Superior Health Plan | AmbetterHMO | $227 |
| Superior Health Plan | ValueHMO | $227 |
| Humana | MGMCD | $246 |
| Sendero | MCD | $246 |
| Aetna Better Health | MCD | $248 |
| United | OptionsPPO | $332 |
| United | NarrowNetworkHIX | $352 |
| Humana | HMO | $370 |
| Humana | PPO | $370 |
| BCBS | Traditional | $393 |
| United | AllPayerAppendix | $518 |
| United | SmallGroup | $518 |
| Texas Workforce Commission | WCOMP | $520 |
| BCBS | MyBlueHealth | $531 |
| United | GlobalBenefitPlan | $600 |
| BCBS | BlueAdvantage | $648 |
| Comanche County | LOCALGOV | $667 |
| Independent Medical Systems | COMM | $733 |
| National Health Care | COMM | $866 |
| First Health | PPO | $886 |
| BCBS | BlueEssentials | $897 |
| BCBS | BlueEssentialsAccess | $897 |
| BCBS | Eposoa | $993 |
| Multiplan | PHCSPrimaryNetwork | $1,000 |
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