CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Aspen Valley Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,537
  • Cash Discount Price: $3,537
  • vs. Medicare Baseline: 14.51x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Aspen Valley Hospital is $3,537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,537. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.51x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$3,537

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,537

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: $3,537 (1451%)
Insurance Median: $3,537 (1451%)
Cash: $3,537 (1451% of Medicare)
Ins. Median: $3,537 (1451% 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 1451% of the Medicare baseline (a markup of 1351%). 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
Ccmsi [700017] $460 189%
Aetna $1,910 - $3,537 784%
Blue Cross Blue Shield $1,910 - $3,272 784%
Humana $1,910 - $3,360 784%
Medicare (plans) $1,910 784%
Tricare $1,910 - $3,537 784%
UnitedHealthcare $1,910 - $3,537 784%
Veterans Administration [100068] $1,910 784%
Cigna $2,476 - $3,537 1016%
Allied Benefit Systems [100015] $3,360 1378%
Geha [100039] $3,360 1378%
Healthscope [100157] $3,360 1378%
Aarp [100007] $3,537 1451%
Aig Travel [100255] $3,537 1451%
Aig [700029] $3,537 1451%
Ameriben [100266] $3,537 1451%
American Republic [100018] $3,537 1451%
Amtrust North America [700042] $3,537 1451%
Axa Travel [100256] $3,537 1451%
Bankers Life Casualty [100022] $3,537 1451%
Broadspire [700043] $3,537 1451%
Bupa Global [100257] $3,537 1451%
Champ Va [500001] $3,537 1451%
Chp [300053] $3,537 1451%
Chubb Services [700054] $3,537 1451%
Companion Life Pivot Health [100258] $3,537 1451%
Corvel [700058] $3,537 1451%
Employee Benefit Management [100033] $3,537 1451%
Equitable Life [100160] $3,537 1451%
Esis Work Comp [700010] $3,537 1451%
Freedom Life Insurance Company [100158] $3,537 1451%
Gallagher Bassett Work Comp [700013] $3,537 1451%
Generic Commercial [109999] $3,537 1451%
Generic Other [509999] $3,537 1451%
Generic Travel Insurance [109998] $3,537 1451%
Generic Workers' Comp [709999] $3,537 1451%
Gerber Life Insurance [100265] $3,537 1451%
Global Excel [100259] $3,537 1451%
Gmmi [100260] $3,537 1451%
Hartford Work Comp [700055] $3,537 1451%
Harvard Pilgrim Healthcare [100241] $3,537 1451%
Health Net [100261] $3,537 1451%
Imagine 360 [100043] $3,537 1451%
Kaiser Permanente [100254] $3,537 1451%
Liberty Healthshare [100262] $3,537 1451%
Liberty Mutual Work Comp [700016] $3,537 1451%
Marriott Claim [700056] $3,537 1451%
Medi Share [100263] $3,537 1451%
Medicaid / KanCare $3,537 1451%
Mutual Of Omaha [100074] $3,537 1451%
Owcp [700057] $3,537 1451%
Physicians Mutual [100075] $3,537 1451%
Pinnacol Assurance Wc [700059] $3,537 1451%
Relations Insurance Kaiser [800004] $3,537 1451%
Sedgwick [700027] $3,537 1451%
Sentinel Security Life [100264] $3,537 1451%
Skico Ortho Alternative Payer [100163] $3,537 1451%
Transamerica [100097] $3,537 1451%
Travelers Work Comp [700028] $3,537 1451%
Tufts Health Plan [100268] $3,537 1451%
United American Insurance [100119] $3,537 1451%
Usaa Life Insurance Company [100155] $3,537 1451%
Wea [100120] $3,537 1451%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals