MRI, lower back (no contrast)
Facility: Washington County Hospital
Billing Code: 72148 (CPT)
This hospital's typical commercial price is $114 compared to the $134 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
On the higher side — 6 of 8 other IL hospitals charge less.
Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a MRI, lower back (no contrast) is about $134 (about 0.5× the $244 Medicare rate). Washington County Hospital charges insurers about $114, or about $2,898 in cash — below the fair price — a good deal. Located in Nashville, IL.
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
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 | $70 - $2,536 | 29% |
| Blue Cross Blue Shieldmajor | $68 - $2,174 | 28% |
| Aetnamajor | $68 - $2,811 | 28% |
| Cignamajor | $89 - $2,645 | 37% |
| Humanamajor | $70 - $1,630 | 29% |
| Ambetter (Centene) | $70 - $1,630 | 29% |
| HealthLink | $2,717 - $3,080 | 1115% |
| Medica | $70 - $2,246 | 29% |
| Meridian | $68 - $1,630 | 28% |
| Molina | $68 - $1,630 | 28% |
| WellCare | $70 - $1,630 | 29% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Washington County Hospital
Compare: MRI, lower back (no contrast) at other IL hospitals
- Thomas H Boyd Memorial Hospital · Carrollton $71
- Sarah D Culbertson Memorial Hospital · Rushville $71
- Sarah Bush Lincoln Health Center · Mattoon $92
- Fayette County Hospital · Vandalia $92
- Mc Donough District Hospital · Macomb $110
- Deaconess Illinois Crossroads · Mount Vernon $110
- Clay County Hospital · Flora $114
- Kirby Medical Center · Monticello $134
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Washington County Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,315
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,315).
Self-Pay Cash Rate ($2,898) Beats Your Bill
Washington County Hospital's published 45 CFR § 180 self-pay cash rate is $2,898 (vs. $114 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $134 Fair BaseRate ($244 Medicare)
Your bill ($3,623) is $3,489 above the denoised Fair BaseRate ($134) and 14.8× the $244 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.