CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Sparta Community Hospital

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$336
about 1.4× the $244 Medicare rate · typically $185–$1,293
modeled estimate · not a bill or quote
Medicare pays $244 Fair price $336 Cash price $4,339 Hospital's list price $4,339

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 $949 - $2,907 389%
Blue Cross Blue Shieldmajor $408 - $995 167%
Aetnamajor $408 - $3,471 167%
Cignamajor $3,254 1335%
Humanamajor $985 404%
Molina $951 390%
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 818 E Broadway, Sparta, IL 62286
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals