CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: The Medical Center of Southeast Texas

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $329
  • Cash Discount Price: $8,845
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at The Medical Center of Southeast Texas is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,845. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.35x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$8,845

Average discount available for prompt cash payment at this facility.

Insurance Median
$329

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: $8,845 (3628%)
Insurance Median: $329 (135%)
Cash: $8,845 (3628% of Medicare)
Ins. Median: $329 (135% 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
Medsolutions $192 79%
League Medical Concepts $197 - $235 81%
Amerigroup $199 - $329 82%
Harbor Hospice $199 82%
Medicaid / KanCare $199 - $1,349 82%
Texas Childrens Health Plan $199 - $701 82%
Humana $206 - $1,588 85%
Community Health Choice $209 - $260 86%
Community Health Choice Uhrip $209 86%
Molina Healthcare $209 - $293 86%
UnitedHealthcare $209 - $1,445 86%
Healthspring $213 87%
Medicare (plans) $213 87%
Provider Partners Health Plan $213 87%
Selectcare $213 87%
Superior Healthplan $213 - $550 87%
Tihp (Texas Independence Health Plan) $213 87%
Caresact $217 89%
Employer Direct Healthcare $217 - $228 89%
Hospice $217 89%
Rice Land Hospice $217 89%
Texas Medical Management Partners $217 - $228 89%
Tricare $217 89%
Triwest $217 89%
Cccn Pro Advantage $224 92%
Wellcare Of Texas $224 92%
Blue Cross Blue Shield $227 - $3,653 93%
Beacon Health $229 94%
Wellpath $238 98%
Corporate Remedies $320 131%
Elap Services $420 172%
Texas Workers Compensation $433 178%
Cigna $645 - $6,192 265%
Aetna $675 - $1,335 277%
Iasis Employees $1,113 457%
Self Pay Emergent $1,327 544%
Dept Of Assistive And Rehabilitative Services $4,423 1814%
Magellan Behavioral Health $5,307 2177%
First Health $5,838 2395%
Galaxy Health Network $6,192 2540%
Private Healthcare Systems $6,192 2540%
Texas Municipal League $6,192 2540%
Healthsmart $6,634 2721%
Multiplan $7,076 2903%
Commercial Non-Contracted $8,845 3628%
Heart To Heart Hospice $8,845 3628%
Lifesynch $8,845 3628%
Mhnet $8,845 3628%
Self Pay - Mcd Pending 100 Percent $8,845 3628%
Single Case Agreement $8,845 3628%
United Behavioral Health $8,845 3628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals