CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Medina Regional Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $1,092
Cash Discount Price: $2,790
vs. Medicare Baseline: 4.48x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Medina Regional Hospital is $1,092. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,790. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.48x the Medicare baseline. Located in 3100 Avenue E, Hondo, TX.

Cash / Self-Pay

$2,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,092

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: $2,790 (1145%)

Insurance Median: $1,092 (448%)

Cash: $2,790 (1145% of Medicare)

Ins. Median: $1,092 (448% 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 448% of the Medicare baseline (a markup of 348%). 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
Aetna	$294 - $1,860	121%
Amerigroup	$294	121%
Superior Health Plan	$294 - $1,201	121%
Community First Health Plan	$309 - $3,100	127%
Curative	$584 - $1,860	240%
Cigna	$600	246%
UnitedHealthcare	$744 - $2,325	305%
Amerivantage	$1,023	420%
Blue Cross Blue Shield	$1,099	451%
Blue Advantage	$1,550	636%
Benefit Administrators	$3,100	1272%

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 $2,790.
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 Medina Regional 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.