CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Grove Creek Medical Center

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$452

about 1.9× the $244 Medicare rate · typically $265–$581

modeled estimate · not a bill or quote

What this hospital charges insurers

$236

Below the fair price — a good deal

about $216 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $452 This hospital $236 Cash price $686 Hospital's list price $981

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $62 Priciest $236

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a MRI, lower back (no contrast) is about $452 (about 1.9× the $244 Medicare rate). Grove Creek Medical Center charges insurers about $236, or about $686 in cash — below the fair price — a good deal. Located in Blackfoot, ID.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$232 - $4,181	95%
PacificSource	$236	97%
SelectHealth	$77 - $1,394	32%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 686), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72148.

Insurance Before you use insurance

Call your insurance company to confirm Grove Creek Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72148.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Grove Creek Medical Center

Compare: MRI, lower back (no contrast) at other ID hospitals

Insurance negotiated median for the same procedure, sorted lowest first.