MRI lower back without contrast at Texoma Medical Center Behavioral Health Center. CPT 72148.
What Texoma Medical Center Behavioral Health Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$9,616cash price (self-pay)
$12,821list price
$173–$9,616range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma | Medicaid | $173 |
| Superior | Medicaid | $201 |
| Molina | Medicaid | $207 |
| Tchp Star | Medicaid | $207 |
| UHC Star Plus | Medicaid | $414 |
| Wellpt Amgrp Str Pls | Medicaid | $414 |
| Superior Hlth Str Pls | Medicaid | $422 |
| Molina Star Plus | Medicaid | $435 |
| Wellpoint Starkids | Medicaid | $459 |
| Healthchoice | Managed_care | $604 |
| Amerigroup | Medicaid | $694 |
| UHC Star | Medicaid | $694 |
| Superior Star | Medicaid | $708 |
| Tchp | Medicaid | $729 |
| Blue_cross_blue_shield_of_tx | Qhp | $741 |
| Blue_cross_blue_shield_of_tx | HMO | $858 |
| Blue_cross_blue_shield_of_tx | PPO | $953 |
| Aetna | Managed_care | $3,269 |
| Coventry_healthfirst | Managed_care | $3,333 |
| Multiplan | Managed_care | $6,834 |
| Humana | Managed_care | $7,475 |
| Healthsmart | Managed_care | $9,616 |
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All common services at Texoma Medical Center Behavioral Health Center