CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $1,120
Cash Discount Price: $1,957
vs. Medicare Baseline: 4.59x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Uchealth Pikes Peak Regional Hospital is $1,120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,957. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.59x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.

Cash / Self-Pay

$1,957

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,120

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: $1,957 (803%)

Insurance Median: $1,120 (459%)

Cash: $1,957 (803% of Medicare)

Ins. Median: $1,120 (459% 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 459% of the Medicare baseline (a markup of 359%). 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
Aetna	$612 - $2,006	251%
Blue Cross Blue Shield	$612 - $1,269	251%
Cigna	$612 - $1,957	251%
Cms	$612	251%
Devoted Health	$612	251%
Humana	$612	251%
Kaiser	$612 - $2,079	251%
Select Health	$612 - $2,118	251%
UnitedHealthcare	$612 - $1,040	251%
Kaiser Public Option	$698 - $1,468	286%
Kaiser Kp Select	$800 - $1,761	328%
Simplified Benefits Administration	$1,120 - $1,235	459%
Multiplan/Phcs	$1,932	793%
First Health	$2,079	853%
Rocky Mountain Health Plan	$2,079	853%

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 $1,957.
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 Uchealth Pikes Peak Regional 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.