CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Banner Fort Collins Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $747
  • Cash Discount Price: $336
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Banner Fort Collins Medical Center is $747. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $336. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.06x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$336

Average discount available for prompt cash payment at this facility.

Insurance Median
$747

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: $336 (138%)
Insurance Median: $747 (306%)
Cash: $336 (138% of Medicare)
Ins. Median: $747 (306% 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 306% of the Medicare baseline (a markup of 206%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $236 - $1,370 97%
Blue Cross Blue Shield $243 - $1,119 100%
Cigna $243 100%
Clear Spring Health $243 100%
Healthspring Life & Health Insurance Company, Inc. $243 100%
Medica $243 - $889 100%
Medicare (plans) $243 100%
Humana $250 103%
Longevity $250 103%
Devoted Health Services $255 105%
Assist Health Group $292 120%
Pinnacol Assurance Workers Comp $381 156%
Denver Health Medical Plan $434 178%
Banner Health $437 179%
Centivo $583 239%
Hue Health, Inc $619 - $747 254%
Aetna $900 369%
Rocky Mountain Health Plans $901 370%
Apostrophe, Inc. $907 372%
Decent Health $907 372%
First Choice Health Network $960 394%
Multiplan $1,003 411%
First Choice Of The Midwest $1,014 416%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals