CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mercyone Des Moines Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $327
  • Cash Discount Price: $2,590
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mercyone Des Moines Medical Center is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,590. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.34x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$2,590

Average discount available for prompt cash payment at this facility.

Insurance Median
$327

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: $2,590 (1062%)
Insurance Median: $327 (134%)
Cash: $2,590 (1062% of Medicare)
Ins. Median: $327 (134% 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
Aetna $110 - $1,382 45%
Medicare (plans) $110 - $235 45%
Blue Cross Blue Shield $111 - $327 46%
UnitedHealthcare $112 - $3,984 46%
Amish Hospital Aid $150 - $307 62%
Oscar $160 - $327 66%
Centivo $162 - $333 66%
Ambetter / Centene $189 - $387 78%
Iowa Total Care $225 - $430 92%
Claimdoc $226 - $463 93%
Nova $226 - $463 93%
Medicaid / KanCare $227 - $436 93%
Blue Benefit Administrators Of Massachusetts $244 - $327 100%
Blue Care Network $244 - $327 100%
Blue Distinction Transplant $244 - $327 100%
Blue Shield - Ca $244 - $327 100%
Blue Shield - Id (Regence) $244 - $327 100%
Blue Shield - Ny Highmark Northeastern $244 - $327 100%
Blue Shield - Ny Highmark Western $244 - $327 100%
Blue Shield - Pa (Highmark) $244 - $327 100%
Blue Shield - Wa (Regence) $244 - $327 100%
Geha $253 - $525 104%
Health Choices $801 329%
Medical Associates $801 329%
1199 National Benefit Fund $1,382 567%
Allied Benefit Systems $1,382 567%
Asr Health Benefits $1,382 567%
Christian Brother Services $1,382 567%
Coventry $1,382 567%
First Health $1,382 567%
Lucent Health $1,382 567%
Luminare Health $1,382 567%
Medical Mutual $1,382 567%
Meritain $1,382 567%
Trustmark Small Business Benefits $1,382 567%
Webtpa $1,382 567%
Cigna $2,390 980%
Health Partners $2,530 1038%
Auxiant $2,590 1062%
Medica $2,590 1062%
Midlands $2,590 1062%
Midlands Choice $2,590 1062%
Usa Managed Care $3,386 1389%
Crime Victim Assistance $3,984 1634%
Iowa Dept Of Public Health $3,984 1634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals