CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Medical City Alliance

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $324
  • Cash Discount Price: $9,795
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Medical City Alliance is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,795. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.33x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.
Cash / Self-Pay
$9,795

Average discount available for prompt cash payment at this facility.

Insurance Median
$324

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: $9,795 (4018%)
Insurance Median: $324 (133%)
Cash: $9,795 (4018% of Medicare)
Ins. Median: $324 (133% 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.

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
Amerigroup $197 81%
Cook Childrens Health Plan $197 81%
Parkland Community Health Plan $197 81%
United $197 - $2,224 81%
Cigna $207 - $1,371 85%
Aetna $213 - $7,121 87%
Molina $217 - $221 89%
Humana $246 - $605 101%
Blue Cross Blue Shield $294 - $4,349 121%
Superior Health Plan $686 281%
Healthcare Highways $3,311 1358%
Healthsmart Preferred Care $7,347 3014%
Independent Medical Systems $9,795 4018%
National Healthcare Solutions $9,795 4018%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3101 North Tarrant Parkway, Fort Worth, TX 76177
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals