MRI lower back without contrast at Throckmorton County Memorial Hospital. CPT 72148.
What Throckmorton County Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,678cash price (self-pay)
$1,678list price
$32.00–$1,644range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $32.00 |
| Blue Cross Blue Shield | HMO | $1,133 |
| Cigna | Commercial | $1,175 |
| Humana | PPO | $1,175 |
| Blue Cross Blue Shield | PPO | $1,259 |
| Amerigroup | Medicare Advantage | $1,644 |
| Blue Cross Blue Shield | Medicare Advantage HMO | $1,644 |
| Blue Cross Blue Shield | Medicare Advantage PPO | $1,644 |
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All common services at Throckmorton County Memorial Hospital