CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$727

about 3.0× the $244 Medicare rate · typically $196–$1,519

modeled estimate · not a bill or quote

Medicare pays $244 Fair price $727 Cash price $452 Hospital's list price $565

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$187 - $1,746	77%
Blue Cross Blue Shieldmajor	$187 - $2,517	77%
Aetnamajor	$187 - $1,712	77%
Cignamajor	$262 - $2,393	107%
Humanamajor	$189 - $1,729	78%
Ambetter (Centene)	$243 - $2,225	100%
HealthLink	$279 - $2,551	114%
Meridian	$1,255	515%
Molina	$1,255	515%
WellCare	$187 - $1,712	77%
+ 2 smaller / regional plans	$187 - $2,054

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 452), 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 Thomas H Boyd Memorial Hospital 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 Thomas H Boyd Memorial Hospital

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

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