CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Medical City Fort Worth

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $907
  • Cash Discount Price: $7,789
  • vs. Medicare Baseline: 3.72x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Medical City Fort Worth is $907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,789. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.72x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$7,789

Average discount available for prompt cash payment at this facility.

Insurance Median
$907

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: $7,789 (3195%)
Insurance Median: $907 (372%)
Cash: $7,789 (3195% of Medicare)
Ins. Median: $907 (372% 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 372% of the Medicare baseline (a markup of 272%). 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 81%
Cook Childrens Health Plan $197 81%
Parkland Community Health Plan $197 81%
United $197 - $1,464 81%
Cigna $207 - $4,128 85%
Healthspring Life $207 85%
Aetna $213 - $4,588 87%
Molina $217 - $221 89%
Humana $246 - $605 101%
Blue Cross Blue Shield $277 - $3,458 114%
Imaging Providers Of Texas $450 185%
Superior Health Plan $545 224%
Unicare $1,714 - $7,789 703%
Healthcare Highways $2,633 1080%
City Of Mckinney $3,505 1438%
Fidelis Securecare $3,505 1438%
Emerging Therapy Solutions $3,895 - $5,608 1598%
National Choicecare $3,895 1598%
Pc Texas Partners $4,284 1757%
Physicians Coop Of Tx $4,284 1757%
Rockport Health Group $4,284 1757%
Averde Health, Inc $4,518 1853%
Coastal Comp Health Networks $5,453 2237%
Mega Life $5,453 2237%
Healthsmart Preferred Care $5,530 2269%
Lewisville Isd/Dls Consulting $5,842 2397%
Usa Managed Care $6,232 2557%
Usc Health Services $6,232 2557%
Galaxy Health Network $6,621 2716%
UnitedHealthcare $6,699 2748%
Independent Medical Systems $7,789 3195%
National Healthcare Solutions $7,789 3195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals