CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Round Rock Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $2,464
  • Cash Discount Price: $9,634
  • vs. Medicare Baseline: 10.11x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Round Rock Medical Center is $2,464. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,634. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.11x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$9,634

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,464

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: $9,634 (3952%)
Insurance Median: $2,464 (1011%)
Cash: $9,634 (3952% of Medicare)
Ins. Median: $2,464 (1011% 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 1011% of the Medicare baseline (a markup of 911%). 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
St David’S Hospice $197 81%
United $203 - $4,335 83%
Blue Cross Blue Shield $207 - $3,073 85%
Molina Healthcare $217 89%
Humana $246 101%
Sendero $246 101%
Aetna $248 - $2,974 102%
Amerigroup $418 171%
Superior Health Plan $482 - $1,638 198%
Imo Med - Select Network $2,890 1186%
Texas Healthcare Foundation Heb $3,565 1462%
Texas Workforce Commission $3,757 1541%
Averde Health $4,335 1778%
Comanche County $4,817 1976%
National Choicecare $4,817 1976%
Healthsmart Preferred Care $5,299 - $7,707 2174%
Independent Medical Systems $5,299 2174%
Physicians Cooperative Of Texas $5,299 2174%
Prime Health $5,780 2371%
First Health $6,069 - $6,927 2490%
Coastal Comp Health Networks $6,262 2569%
National Health Care $6,262 2569%
Texas Municipal League $6,744 2767%
Medcorp Southwest $7,226 2964%
Preferred Health Arrangement $7,226 2964%
Rockport Healthcare Group $7,707 - $8,671 3162%
Bce Emergis Corporation $8,671 3557%
Beech Street $8,671 3557%
Medical Control Network Solutions $8,671 3557%
Multiplan $8,671 3557%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals