CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Bethesda Hospital East

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $249
  • Cash Discount Price: $3,775
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Bethesda Hospital East is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,775. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.02x the Medicare baseline. Located in 2815 S Seacrest Blvd, Boynton Beach, FL.
Cash / Self-Pay
$3,775

Average discount available for prompt cash payment at this facility.

Insurance Median
$249

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: $3,775 (1549%)
Insurance Median: $249 (102%)
Cash: $3,775 (1549% of Medicare)
Ins. Median: $249 (102% 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.

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
Amerigroup $76 - $152 31%
Medicaid / KanCare $76 - $167 31%
Sunshine State $76 - $152 31%
UnitedHealthcare $76 - $5,808 31%
Wellcare $76 - $152 31%
Aetna $80 - $3,101 33%
Vista $80 - $160 33%
Blue Cross Blue Shield $125 - $1,552 51%
Leon Medical $125 - $249 51%
Medica Health Plan $125 - $249 51%
Medicare (plans) $125 - $336 51%
Humana $130 - $259 53%
Cigna $131 - $886 54%
Avmed $137 - $2,869 56%
Non Contracted $2,132 875%
Amerihealth $2,614 1072%
Affordable $3,775 1549%
International $3,775 1549%
Dimension Health Plan $5,227 2144%
Phcs $5,227 2144%
Quality Health $5,227 2144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2815 S Seacrest Blvd, Boynton Beach, FL 33435
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals