CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: North Shore Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $281
  • Cash Discount Price: $11,129
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at North Shore Medical Center is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,129. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.15x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$11,129

Average discount available for prompt cash payment at this facility.

Insurance Median
$281

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: $11,129 (4565%)
Insurance Median: $281 (115%)
Cash: $11,129 (4565% of Medicare)
Ins. Median: $281 (115% 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
Humana $133 - $468 55%
Medicaid / KanCare $154 - $11,129 63%
UnitedHealthcare $156 - $234 64%
Veterans Administration Mill Bill $164 67%
Avmed Broad Network $168 69%
Aetna $186 - $8,013 76%
Dimension Health Wc $196 80%
Workers Compensation $196 80%
Healthsun Health Plans $203 - $246 83%
Medicare (plans) $211 - $11,129 87%
Imagine Health $222 91%
Leon Health Inc $233 96%
Devoted Health $234 96%
Tricare $235 96%
Employer Direct Healthcare $238 - $245 98%
Hospice Other $238 98%
Veterans Administration Vaccn $238 98%
Self Pay/Uninsured $241 - $292 99%
Cigna $246 - $5,564 101%
Longevity Health Plan $250 103%
Florida Pace Centers $281 115%
Oscar Health Plan Hix $284 117%
Bright Health Management Commercial $285 117%
Centurion Prison $292 120%
Avmed Exchange $416 171%
Ambetter / Centene $440 180%
Molina Marketplace Program Exchange $453 186%
Auto Insurance $476 195%
Avmed Select Network $487 200%
Amerihealth Caritas Next Exchange $511 210%
Bc/Bs Of Fl Health Options Hmo $665 273%
Bc/Bs Of Fl Network Blue $674 276%
Bc/Bs Myblue Hmo Hix $684 281%
Bc/Bs Of Fl Simplyblue $720 295%
Bc/Bs Of Fl Ppo $727 298%
Bc/Bs Of Fl Blue Select Exchange Non Par $742 304%
Bc/Bs Of Fl Phs $5,769 2367%
Magellan Behavioral Health $6,677 2739%
Dimensions International $7,234 2968%
First Health $7,568 3105%
Dimension Health Ppo $8,347 3424%
Beacon Health Strategies Commercial $11,129 4565%
Commercial Non-Contracted $11,129 4565%
Self Pay - Mcd Pending 100 Percent $11,129 4565%
Single Case Agreement $11,129 4565%
United Behavioral Health Psych $11,129 4565%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals