CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $254
  • Cash Discount Price: $1,423
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,423. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$1,423

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,423 (584%)
Insurance Median: $254 (104%)
Cash: $1,423 (584% of Medicare)
Ins. Median: $254 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Molina $56 - $254 23%
Parkland $56 - $199 23%
UnitedHealthcare $56 - $2,055 23%
Wellpoint $56 - $254 23%
Aetna $64 - $1,566 26%
Superior $65 - $254 27%
Procare $68 - $242 28%
Ambetter / Centene $70 - $198 29%
Blue Cross Blue Shield $71 - $2,647 29%
Humana $71 - $251 29%
United Options Nexus $100 - $2,169 41%
Coventry $110 - $1,989 45%
Healthfirst $134 - $1,599 55%
Quiktrip $153 - $1,793 63%
Rockwall County $155 - $1,992 64%
Maestro Health/Fort Worth Firefighters $169 - $1,521 69%
Phcs $174 - $2,308 71%
Galaxy Health Network $200 - $2,504 82%
Multiplan $200 - $2,476 82%
Cigna $202 - $2,096 83%
Healthsmart $215 - $2,362 88%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals