CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Boundary Community Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $252
Cash Discount Price: $744
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Boundary Community Hospital is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $744. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 6640 Kaniksu Street, Bonners Ferry, ID.

Cash / Self-Pay

$744

Average discount available for prompt cash payment at this facility.

Insurance Median

$252

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: $744 (305%)

Insurance Median: $252 (103%)

Cash: $744 (305% of Medicare)

Ins. Median: $252 (103% 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
UnitedHealthcare	$46 - $1,371	19%
Cigna	$59 - $2,718	24%
Molina Comm/Mrketplce - All Other Plans	$66 - $244	27%
Molina Mcr Adv	$66 - $887	27%
Bc Idaho Qhp	$119 - $1,516	49%
Bc Idaho Comm - All Other Plans	$132 - $1,521	54%
Regence Blue Shield - All Plans	$141 - $6,250	58%
Molina Mcaid	$150 - $968	62%
Pacificsource Comm - All Other Plans	$239 - $1,565	98%
Aetna	$261 - $1,048	107%

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 $744.
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 Boundary Community Hospital 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.