CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Northwest Texas Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $2,522
Cash Discount Price: $4,004
vs. Medicare Baseline: 10.35x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Northwest Texas Hospital is $2,522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,004. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.35x the Medicare baseline. Located in 1501 S Coulter St, Amarillo, TX.

Cash / Self-Pay

$4,004

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,522

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: $4,004 (1643%)

Insurance Median: $2,522 (1035%)

Cash: $4,004 (1643% of Medicare)

Ins. Median: $2,522 (1035% 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 1035% of the Medicare baseline (a markup of 935%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$57	23%
First_Care_Star	$213	87%
Superior	$213	87%
Amerigroup	$290	119%
United_Healthcare	$1,407 - $2,457	577%
Aetna	$1,604 - $2,801	658%
Scott_And_White_Healthplan	$1,968 - $3,437	807%
Cigna	$2,588 - $4,520	1062%
Health_Smart	$4,381 - $7,652	1797%
Multiplan	$5,831 - $10,185	2392%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,004.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Northwest Texas Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.