MRI lower back without contrast at Ward Memorial Hospital. CPT 72148.
What Ward Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,937cash price (self-pay)
$4,196list price
$881–$4,154range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield - Tx | VA PCCC | $881 |
| FirstCare | Commercial | $881 |
| Medicare Advantage | Medicare Advantage | $881 |
| Superior HealthPlan | HMO | $881 |
| Superior HealthPlan | PPO | $881 |
| FirstCare | Medicare Advantage | $899 |
| Blue Cross Blue Shield - Tx | Blue Advantage | $1,678 |
| Cigna | Commercial | $2,450 |
| Blue Cross Blue Shield - Tx | HMO | $2,518 |
| Blue Cross Blue Shield - Tx | PPO | $2,937 |
| Blue Cross Blue Shield - Tx | Commercial | $2,937 |
| CoreCare | Commercial | $2,937 |
| Texas True Choice | Commercial | $3,147 |
| Unicare | Commercial | $3,357 |
| Galaxy Health Network | Commercial | $3,776 |
| MultiPlan | PPO | $3,776 |
| USA Health Network | PPO | $3,776 |
| USC Health Services | Commercial | $3,776 |
| Aetna | Commercial | $4,154 |
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