CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: HCA Healthone Rose

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $6,068
Cash Discount Price: $12,859
vs. Medicare Baseline: 24.89x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at HCA Healthone Rose is $6,068. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,859. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 24.89x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$12,859

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,068

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: $12,859 (5275%)

Insurance Median: $6,068 (2489%)

Cash: $12,859 (5275% of Medicare)

Ins. Median: $6,068 (2489% 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 2489% of the Medicare baseline (a markup of 2389%). 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	$169 - $9,979	69%
Pinnacol Workers Comp	$377	155%
United	$391 - $6,068	160%
Multiplan	$393 - $12,136	161%
Rocky Mountain Health Plan	$518	212%
Aetna	$1,552 - $2,352	637%
Vail Health	$1,859 - $2,050	763%
Bright Health	$3,670 - $4,046	1506%
Colorado Program For Children With Special Needs	$5,505 - $6,068	2258%
Cigna	$7,829 - $8,630	3212%
Western Plains Community Health	$7,951 - $8,765	3262%
Northcare	$8,563 - $9,440	3513%
Physician Health Partners	$8,563 - $9,440	3513%
Medical Development International	$9,786 - $10,788	4014%
Rocky Mtn Planned Parenthood	$10,398 - $11,462	4265%
Prime Health	$11,010 - $12,136	4517%

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 $12,859.
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 HCA Healthone Rose 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.