CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Piedmont Macon North Hospital

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$609
about 2.5× the $244 Medicare rate · typically $326–$693
modeled estimate · not a bill or quote
What this hospital charges insurers
$584
About the fair price
about $25 under the fair price · 2.4× Medicare
Medicare pays $244 Fair price $609 This hospital $584 Cash price $1,711 Hospital's list price $5,702

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 $584

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 $609 (about 2.5× the $244 Medicare rate). Piedmont Macon North Hospital charges insurers about $584, or about $1,711 in cash — about the fair price. Located in Macon, 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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $584 240%
Aetnamajor $2,260 927%
Cignamajor $955 392%
+ 3 smaller / regional plans $3,707 - $4,562
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Charter Boulevard, Macon, GA 31210
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals