CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Shepherd Center, Inc.

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $476
  • Cash Discount Price: $1,272
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Shepherd Center, Inc. is $476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,272. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.95x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.
Cash / Self-Pay
$1,272

Average discount available for prompt cash payment at this facility.

Insurance Median
$476

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: $1,272 (522%)
Insurance Median: $476 (195%)
Cash: $1,272 (522% of Medicare)
Ins. Median: $476 (195% 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
Blue Cross Blue Shield $55 - $600 23%
Medicare (plans) $71 - $231 29%
Humana $76 - $216 31%
Kaiser $82 - $150 34%
Aetna $107 - $3,746 44%
Coventry $107 - $2,865 44%
UnitedHealthcare $233 - $569 96%
Paradigm Wc $333 - $2,159 137%
Secure Health $408 - $2,644 167%
Cigna $430 176%
Coventry Wc $442 - $2,865 181%
Alamed Wc $476 - $3,085 195%
Fcci Wc $476 - $3,085 195%
Multiplan $510 - $3,305 209%
Evolution Wc $544 - $3,526 223%
Prime Health Wc $544 - $3,966 223%
Corvel Wc $578 - $3,746 237%
Novanet Wc $578 - $3,746 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 Peachtree Rd Nw, Atlanta, GA 30309
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL