CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Stephens County Hospital

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$235
about 1.0× the $244 Medicare rate · typically $235–$633
modeled estimate · not a bill or quote
What this hospital charges insurers
$235
About the fair price
1.0× Medicare
Medicare pays $244 Fair price $235 This hospital $235 Cash price $470 Hospital's list price $784

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $70 Priciest $235

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a MRI, lower back (no contrast) is about $235 (about 1.0× the $244 Medicare rate). Stephens County Hospital charges insurers about $235, or about $470 in cash — about the fair price. Located in Toccoa, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,084 445%
Blue Cross Blue Shieldmajor $986 404%
Aetnamajor $1,047 430%
Cignamajor $1,109 455%
Amerigroup $396 162%
CareSource $235 96%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 163 Hospital Drive, Toccoa, GA 30577
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals