CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $418
Cash Discount Price: $452
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Thomas H Boyd Memorial Hospital is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $452. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.71x the Medicare baseline. Located in 800 School St, Carrollton, IL.

Cash / Self-Pay

$452

Average discount available for prompt cash payment at this facility.

Insurance Median

$418

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: $452 (185%)

Insurance Median: $418 (171%)

Cash: $452 (185% of Medicare)

Ins. Median: $418 (171% 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
Aetna	$187 - $1,712	77%
Blue Cross Blue Shield	$187 - $2,517	77%
Health Alliance Mcr Adv	$187 - $1,712	77%
UnitedHealthcare	$187 - $1,746	77%
Wellcare Mcr Adv-All Plans	$187 - $1,712	77%
Humana	$189 - $1,729	78%
Health Alliance-All Other Plans	$225 - $2,054	92%
Ambetter / Centene	$243 - $2,225	100%
Cigna	$262 - $2,393	107%
Multiplan-All Plans	$275 - $2,517	113%
Healthlink Hmo	$279 - $2,551	114%
Healthlink Il Only	$279 - $2,450	114%
Healthlink Ppo-All Other Plans	$316 - $2,886	130%
Hfn Zelis-All Plans	$334 - $3,054	137%
Meridian Hp Mcaid-All Plans	$1,255	515%
Molina Mcaid-All Plans	$1,255	515%

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 $452.
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 Thomas H Boyd Memorial 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.