CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $2,894
  • Cash Discount Price: $12,764
  • vs. Medicare Baseline: 11.87x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Las Palmas Medical Center A Campus of Lpds Healthc is $2,894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,764. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.87x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$12,764

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,894

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: $12,764 (5236%)
Insurance Median: $2,894 (1187%)
Cash: $12,764 (5236% of Medicare)
Ins. Median: $2,894 (1187% 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 1187% of the Medicare baseline (a markup of 1087%). 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.

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
Amerigroup $197 - $207 81%
Centennial Care $197 81%
St David’S Hospice $197 81%
Western Sky Community Care $197 81%
United $199 - $5,744 82%
El Paso First Health Plans $203 83%
Aetna $213 - $2,894 87%
Molina Healthcare $217 89%
Humana $246 101%
Blue Cross Blue Shield $732 - $1,247 300%
Superior Health Plan $766 314%
Cigna $1,379 - $3,989 566%
Bienvivir Senior Health $2,170 890%
Healthcare Highways $2,451 1005%
First Health $5,744 2356%
Healthsmart Preferred Care $5,744 - $7,020 2356%
Emerging Therapy Solutions $5,871 - $8,807 2408%
Sheriff'S Dept El Paso County Detention $6,382 2618%
Ysleta Del Sur Pueblo $6,382 2618%
Southwest Medical Provider Network $7,020 2880%
Prime Health $7,658 3141%
Texas Workforce Commission $8,041 3299%
Multiplan $8,297 3404%
Phcs $8,297 3404%
Integrated Medical Systems $8,935 3665%
Samsa $8,935 3665%
Danmark - International Contract $9,573 3927%
Galaxy Health Network $9,573 3927%
Medcorp Southwest $10,211 4189%
Usa Managed Care $10,466 - $12,126 4293%
Affiliated Healthcare $10,849 4451%
National Provider Network $11,488 4713%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals