MRI lower back without contrast at St. Luke's Health Memorial San Augustine. CPT 72148.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,177cash price (self-pay)

$7,848list price

$216–$8,162range insurers pay

Insurance plan	Negotiated rate
AETNA \| Medicare\|All Plans	$216
HUMANA \| Medicare\|All Plans	$216
Wellpoint \| Medicare\|All Plans	$223
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$227
CIGNA HEALTHSPRING \| Medicare\|PPO	$229
BCBS \| Medicare\|All Plans	$240
UNITED \| Medicare\|All Plans	$240
SCANHealth \| Medicare\|All Plans	$244
BCBS-TX \| Commercial\|Blue Advantage HMO	$268
MD Save \| Commercial\|All Plans	$270
SUPERIOR \| Medicaid\|All Other Plans	$294
SUPERIOR \| Medicaid\|STARPLUS	$294
UNITED \| Medicaid\|All Other Plans	$294
UNITED \| Medicaid\|STAR	$294
Wellpoint \| Medicaid\|All Other Plans	$294
TCHP \| Medicaid\|All Plans	$294
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$300
Wellpoint \| Medicaid\|STARPLUS	$303
BCBS \| Medicaid\|All Plans	$309
Wellpoint \| Commercial\|Exchange	$360
SUPERIOR \| Medicaid\|STAR	$462
Wellpoint \| Medicaid\|STAR	$462
UNITED \| Medicaid\|STARPLUS	$527
Angelina County \| Commercial\|All Plans	$590
Brookshire Brothers \| Commercial\|All Plans	$648
BCBS-TX \| Commercial\|Blue Premier	$734
BCBS-TX \| Commercial\|HMO	$771
BCBS-TX \| Commercial\|PPO	$930
United \| Commercial\|Exchange	$1,413
Cigna \| Commercial\|All Plans	$1,654

$1,177cash price (self-pay)

$7,848list price

$1,962–$7,848range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|All Plans	$1,962
Humana \| Commercial\|All Plans	$5,494
Multiplan \| Commercial\|All Plans	$5,494
PHCS \| Commercial\|All Plans	$6,278
Galaxy \| Commercial\|All Plans	$7,063
United \| Commercial\|Exchange	$7,848

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