CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Deaconess Illinois Crossroads

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $483
  • Cash Discount Price: $1,307
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Deaconess Illinois Crossroads is $483. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,307. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.98x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$1,307

Average discount available for prompt cash payment at this facility.

Insurance Median
$483

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: $1,307 (536%)
Insurance Median: $483 (198%)
Cash: $1,307 (536% of Medicare)
Ins. Median: $483 (198% 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 $66 - $4,693 27%
Blue Cross Blue Shield $66 - $2,821 27%
Humana $66 - $4,633 27%
Meridian Health Plan $66 - $252 27%
Molina Healthcare Of Illinois $66 - $254 27%
Mytru Advantage $66 - $252 27%
Umwa $66 - $252 27%
UnitedHealthcare $66 - $3,445 27%
Wellcare $66 - $252 27%
Deaconess Onecare $85 - $3,148 35%
Alliance Coal $91 - $416 37%
Alter-Net Medical Services, Inc. $105 - $2,079 43%
Noncontracted $105 - $403 43%
Self-Pay $217 - $1,307 89%
Cigna $241 - $2,311 99%
Care Improvement Plus $257 105%
Prime Health Services $465 - $4,455 191%
Guardian Resources, Inc. $521 - $4,990 214%
Healthcare'S Finest Network (Hfn) $527 - $5,049 216%
Medicalcontrol Network Solutions $527 - $5,049 216%
National Provider Network $527 - $5,049 216%
Three Rivers Provider Network $539 - $5,168 221%
Beech Street $546 - $5,227 224%
Hope Trust $718 - $2,079 295%
Encore Combined $1,093 - $3,623 448%
Encore Prime/Elite/Elite + $1,093 - $3,261 448%
Wexford Health Sources $2,673 - $4,158 1097%
Great West Healthcare Of Illinois $4,455 1828%
Multiplan - Primary Network - Phcs $4,663 1913%
Healthlink $4,752 - $5,049 1949%
Coventry Healthcare $5,001 2052%
First Health $5,001 2052%
Multiplan - Complementary Network $5,073 2081%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals