CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: UW Health

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $244
  • Cash Discount Price: $688
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at UW Health is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $688. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.
Cash / Self-Pay
$688

Average discount available for prompt cash payment at this facility.

Insurance Median
$244

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: $688 (282%)
Insurance Median: $244 (100%)
Cash: $688 (282% of Medicare)
Ins. Median: $244 (100% 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 $113 - $2,374 46%
Blue Cross Blue Shield $113 - $3,051 46%
Humana $113 - $244 46%
Medicare (plans) $113 - $268 46%
Mychoice Wi Medical Adv $113 - $244 46%
UnitedHealthcare $113 - $2,527 46%
Medicaid / KanCare $114 47%
Quartz Aso $177 - $1,796 73%
Quartz Fully Insured $177 - $1,141 73%
Cigna $198 - $2,625 81%
Ecoh $238 - $2,589 98%
Hfn $238 - $2,589 98%
Alliance Premier Network $264 - $1,795 108%
The Alliance $287 - $2,310 118%
Wps $1,526 626%
Workers Comp $1,759 722%
Beloit Healt System $1,770 - $2,967 726%
Mercy Care $2,136 876%
Wps Ppo $2,137 - $2,543 877%
Mercycare $2,580 - $3,070 1058%
First Health/Coventry $2,718 - $3,233 1115%
Health Payment Systems $3,225 - $3,837 1323%
Healthsmart $3,225 - $3,837 1323%
Sheboygan Employers Health Network $3,440 - $4,093 1411%
Multiplan $3,844 - $4,574 1577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals