CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: HCA Florida Raulerson Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,302
  • Cash Discount Price: $11,587
  • vs. Medicare Baseline: 13.55x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at HCA Florida Raulerson Hospital is $3,302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,587. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.55x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$11,587

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,302

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: $11,587 (4753%)
Insurance Median: $3,302 (1355%)
Cash: $11,587 (4753% of Medicare)
Ins. Median: $3,302 (1355% 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 1355% of the Medicare baseline (a markup of 1255%). 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
United $518 - $5,214 212%
Freedom Health $996 409%
Optimum $996 409%
Avmed $1,088 - $5,794 446%
Aetna $1,499 - $3,476 615%
Simply Healthcare Plans $1,506 618%
Molina $2,202 - $3,128 903%
Corvel Corporation $2,345 962%
Careworks (Rockport) $2,394 982%
Prime Health $2,394 982%
Health Sun Health Plan $2,468 1012%
Sunshine State Health Plan $2,955 1212%
United Ppo $5,098 2091%
Plotkin Health $5,794 2377%
Prime Health Sherriff $5,794 2377%
Multiplan $8,690 - $9,849 3565%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals