CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Winkler County Memorial Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $2,836
Cash Discount Price: $3,456
vs. Medicare Baseline: 11.63x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Winkler County Memorial Hospital is $2,836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,456. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.63x the Medicare baseline. Located in 821 Jeffee Drive, Kermit, TX.

Cash / Self-Pay

$3,456

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,836

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: $3,456 (1418%)

Insurance Median: $2,836 (1163%)

Cash: $3,456 (1418% of Medicare)

Ins. Median: $2,836 (1163% 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 1163% of the Medicare baseline (a markup of 1063%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$215 - $2,808	88%
UnitedHealthcare	$1,142 - $4,320	468%
Aetna	$2,808 - $3,672	1152%
Caprock Mcr Adv- All Plans	$2,808	1152%
Molina Marketplace - All Other Plans	$2,808	1152%
Molina Mcr Adv	$2,808	1152%
Superior Mcr Adv - All Other Plans	$2,808	1152%
Humana	$2,836 - $3,672	1163%
First Care Chip - All Other Plans	$4,320	1772%
First Care Star	$4,320	1772%
Molina Chip	$4,320	1772%
Molina Mcaid	$4,320	1772%
Superior Star/Chip	$4,320	1772%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,456.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Winkler County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.