CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Texas Orthopedic Hospital

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$324

about 1.3× the $244 Medicare rate · typically $223–$811

modeled estimate · not a bill or quote

What this hospital charges insurers

$217

Below the fair price — a good deal

about $107 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $324 This hospital $217 Cash price $13,438 Hospital's list price $13,438

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $69 Priciest $217

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, lower back (no contrast) is about $324 (about 1.3× the $244 Medicare rate). Texas Orthopedic Hospital charges insurers about $217, or about $13,438 in cash — below the fair price — a good deal. Located in Houston, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$203 - $6,047	83%
Blue Cross Blue Shieldmajor	$466 - $4,703	191%
Aetnamajor	$215 - $2,260	88%
Cignamajor	$1,740 - $2,241	714%
Humanamajor	$246 - $2,640	101%
Amerigroup	$197	81%
Fidelis Care	$6,047	2481%
Health Net	$193	79%
Molina	$217	89%
+ 11 smaller / regional plans	$197 - $11,422

Government programs also on file: Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 13,438), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72148.

Insurance Before you use insurance

Call your insurance company to confirm Texas Orthopedic Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72148.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Texas Orthopedic Hospital

Compare: MRI, lower back (no contrast) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.