CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Medical City Lewisville

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $294
  • Cash Discount Price: $4,946
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Medical City Lewisville is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,946. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.21x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$4,946

Average discount available for prompt cash payment at this facility.

Insurance Median
$294

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: $4,946 (2029%)
Insurance Median: $294 (121%)
Cash: $4,946 (2029% of Medicare)
Ins. Median: $294 (121% 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
Texas Health Network $194 80%
Amerigroup $197 81%
Cook Childrens Health Plan $197 81%
Parkland Community Health Plan $197 81%
United $197 - $1,968 81%
Cigna $207 - $1,384 85%
Aetna $213 - $7,188 87%
Molina $217 - $221 89%
Humana $246 - $605 101%
Blue Cross Blue Shield $294 - $4,390 121%
Imaging Providers Of Texas $450 185%
Superior Health Plan $692 284%
Unicare $2,373 - $9,887 973%
Healthcare Highways $3,342 1371%
City Of Mckinney $4,449 1825%
Fidelis Securecare $4,449 1825%
National Choicecare $4,944 2028%
Pc Texas Partners $5,438 2231%
Physicians Coop Of Tx $5,438 2231%
Rockport Health Group $5,438 2231%
Averde Health, Inc $5,734 2352%
Usc Health Services $5,932 2433%
Coastal Comp Health Networks $6,921 2839%
Jostens $6,921 2839%
Mega Life $6,921 2839%
Healthsmart Preferred Care $7,415 3042%
Lewisville Isd/Dls Consulting $7,415 3042%
Usa Managed Care $7,910 3245%
Galaxy Health Network $8,404 3448%
Independent Medical Systems $9,887 4056%
National Healthcare Solutions $9,887 4056%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals