CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,233
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 13.26x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at University of Texas M. D. Anderson Cancer Center is $3,233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.26x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,233

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%)
Insurance Median: $3,233 (1326%)
Ins. Median: $3,233 (1326% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1326% of the Medicare baseline (a markup of 1226%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texaschildrens $51 - $2,032 21%
Tricare $59 - $3,464 24%
Vacare $59 - $2,032 24%
Medicare (plans) $83 - $2,032 34%
Blue Cross Blue Shield $107 - $3,326 44%
Cigna $150 - $3,464 62%
UnitedHealthcare $166 - $3,464 68%
Aetna $198 - $3,464 81%
Humana $456 - $3,557 187%
Ontarioministriesofhealth $562 - $3,418 231%
Beijingst.Lucia $570 - $3,464 234%
Embassyofqatar $570 - $3,464 234%
Memorialhermannhealth $570 - $3,464 234%
Multiplan $578 - $3,972 237%
Phcs $578 - $3,972 237%
Emergingtherapysolutions_Cancercare $608 - $3,695 249%
Interlink_Cancercare $608 - $3,695 249%
Saudiarmedforces $608 - $3,695 249%
Uae_Medical $608 - $3,695 249%
Uaepoliceattache $608 - $3,695 249%
Healthsmart $646 - $3,926 265%
Vantage $646 - $3,926 265%
Emergingtherapysolutions $3,464 - $3,695 1421%
Interlink $3,464 - $3,926 1421%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL