CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Madison St Joseph Health Center

Billing Code: 72148 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$571

about 2.3× the $244 Medicare rate · typically $124–$1,631

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,450

Well above the fair price

about $879 over the fair price · 5.9× Medicare

Medicare pays $244 Fair price $571 This hospital $1,450 Cash price $828 Hospital's list price $4,730

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 $1,450

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

A fair price for a MRI, lower back (no contrast) is about $571 (about 2.3× the $244 Medicare rate). Madison St Joseph Health Center charges insurers about $1,450, or about $828 in cash — well above the fair price. Located in Madisonville, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $571. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$300 - $3,947	123%
Blue Cross Blue Shieldmajor	$309 - $4,730	127%
Aetnamajor	$615 - $3,122	252%
Cignamajor	$1,169 - $3,027	480%
Humanamajor	$1,450	595%
Ambetter (Centene)	$892	366%
Bright Health	$1,768	725%
+ 7 smaller / regional plans	$294 - $2,602

Excludes 3 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 828), 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 Madison St Joseph Health Center 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 Madison St Joseph Health Center

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

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