CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mayers Memorial Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $783
Cash Discount Price: $700
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mayers Memorial Hospital is $783. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $700. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.21x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$700

Average discount available for prompt cash payment at this facility.

Insurance Median

$783

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: $700 (287%)

Insurance Median: $783 (321%)

Cash: $700 (287% of Medicare)

Ins. Median: $783 (321% 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 321% of the Medicare baseline (a markup of 221%). 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 Shield Ca Va	$66 - $736	27%
Blue Shield Mcr Adv	$66 - $736	27%
Tricare	$66 - $775	27%
Health Net Mcr Adv	$70 - $775	29%
Arcadian Health Services-All Plans	$73 - $775	30%
Imperial Health Plan-All Plans	$79 - $876	32%
Medi-Cal	$186 - $390	76%
Cigna	$215 - $1,116	88%
Corvel Ppo-All Plans	$215 - $1,116	88%
Coventry/First Health-All Plans	$215 - $1,116	88%
Integrated Hp-All Plans	$215 - $1,116	88%
Interplan-All Plans	$215 - $1,116	88%
Blue Cross Blue Shield	$783 - $1,004	321%
Health Net Prison	$845	347%
Blue Shield Ca Exchange	$1,004	412%
Blue Shield-All Other Plans	$1,116	458%
Hmn-All Plans	$1,116	458%
Multiplan Phcs-All Plans	$1,116	458%
Pfmc-All Plans	$1,116	458%
Superior Ca-All Plans	$1,116	458%
Health Net-All Other Plans	$1,169	480%
Pacificare-All Plans	$1,174	482%
Partnership Hp-All Plans	$1,174	482%

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 $700.
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 Mayers 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.