CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Wellstar Paulding Medical Center

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$393

about 1.6× the $244 Medicare rate · typically $264–$828

modeled estimate · not a bill or quote

What this hospital charges insurers

$384

About the fair price

about $9 under the fair price · 1.6× Medicare

Medicare pays $244 Fair price $393 This hospital $384 Cash price $1,776 Hospital's list price $4,553

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 $384

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, lower back (no contrast) is about $393 (about 1.6× the $244 Medicare rate). Wellstar Paulding Medical Center charges insurers about $384, or about $1,776 in cash — about the fair price. Located in Hiram, GA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor	$247 - $910	101%
Aetnamajor	$242 - $730	99%
Cignamajor	$254 - $342	104%
Ambetter (Centene)	$427	175%
CareSource	$259 - $475	106%
Oscar Health	$448	184%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,776), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72148.

Insurance Before you use insurance

Call your insurance company to confirm Wellstar Paulding Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72148.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wellstar Paulding Medical Center

Compare: MRI, lower back (no contrast) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.