CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: North Hawaii Community Hospital, Inc

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$307
about 1.3× the $244 Medicare rate · typically $269–$317
modeled estimate · not a bill or quote
What this hospital charges insurers
$300
About the fair price
about $7 under the fair price · 1.2× Medicare
Medicare pays $244 Fair price $307 This hospital $300 Cash price $1,584 Hospital's list price $2,263

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 3 charge more and 5 charge less, among the 9 HI hospitals compared.

Cheapest $257 Priciest $321

Black dot = this hospital, among the 9 HI 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 $307 (about 1.3× the $244 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $300, or about $1,584 in cash — about the fair price. Located in Kamuela, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $300 123%
Kaiser Permanentemajor $300 - $841 123%
+ 8 smaller / regional plans $215 - $1,013

Self-Pay How to get the cash price

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

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Facility Profile & Credentials

  • Address: 67 1125 Mamalahoa Highway, Kamuela, HI 96743
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals