CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $176
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Atrium Health Navicent Rehabilitation Hopsital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.72x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$176

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%)

Insurance Median: $176 (72%)

Ins. Median: $176 (72% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$66 - $1,175	27%
Blue Cross Blue Shield	$66 - $242	27%
Georgia Health Advantage	$66 - $242	27%
Humana	$66 - $1,180	27%
UnitedHealthcare	$66 - $1,373	27%
Care Source	$67 - $247	27%
Clover	$67 - $247	27%
Eon Health	$67 - $247	27%
Pruitt Health	$69 - $242	28%
Alliant	$79 - $290	32%
Ambetter / Centene	$89 - $233	37%
Cigna	$156 - $975	64%
Kaiser	$208 - $1,473	85%
Securehealth	$221 - $1,099	91%
Ibg	$249 - $1,432	102%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Navicent Rehabilitation Hopsital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.