MRI lower back without contrast at University Medical Center Surgical Hospital. CPT 72148.
What University Medical Center Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$144cash price (self-pay)
$2,177list price
$137–$1,268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna CVS | Commercial | $171 |
| Healthnet | Tricare | $183 |
| Medicaid | Medicaid | $197 |
| Amerigroup TX | Medicaid | $197 |
| Molina TX | Medicaid | $197 |
| Superior TX | Medicaid | $205 |
| Medicare | Medicare | $238 |
| AETNA | Medicare Advantage | $238 |
| Amerigroup TX | Medicare Advantage | $238 |
| Cigna | QHP | $238 |
| El Paso Health Dual | Medicare Advantage | $238 |
| Molina | QHP | $238 |
| WellCare | Medicare Advantage | $238 |
| WellMed | Medicare Advantage | $238 |
| Aetna | QHP | $414 |
| United Healthcare Options_Non-Options | Commercial | $597 |
| BCBS HMO | Commercial | $713 |
| Humana Choice Care | Commercial | $782 |
| BCBS PPO & Traditional | Commercial | $928 |
| Cigna | Commercial | $1,119 |
| El Paso Health | Medicaid | $1,198 |
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All common services at University Medical Center Surgical Hospital