MRI, lower back (no contrast)
Facility: St Joseph Health System, LLC
Billing Code: 72148 (CPT)
- CPT Billing Code: 72148
- Insurance Median: $1,019
- Cash Discount Price: $829
- vs. Medicare Baseline: 4.18x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 418% of the Medicare baseline (a markup of 318%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Eval Services | $222 | 91% |
| UnitedHealthcare | $224 - $2,021 | 92% |
| Tricare | $240 | 98% |
| Aetna | $248 - $1,909 | 102% |
| Blue Cross Blue Shield | $248 - $1,037 | 102% |
| Humana | $248 - $458 | 102% |
| Managed Health Services | $248 - $505 | 102% |
| Medicare (plans) | $248 | 102% |
| Department Of Veterans Affairs | $252 | 103% |
| Node Hospice Non Par Agree | $252 | 103% |
| Node Va | $252 | 103% |
| Node Devoted Health Mcr Adv | $253 | 104% |
| In Dept Of Correction | $263 | 108% |
| Node Pphp Mcr Adv | $265 | 109% |
| Us Department Of Labor | $316 | 130% |
| Lutheran Advanced Network | $379 | 155% |
| Lutheran Network | $379 - $1,544 | 155% |
| Amish Aid | $430 - $674 | 176% |
| Self Pay | $430 - $1,544 | 176% |
| Encore Work Comp In | $454 | 186% |
| Prime Health Services | $454 - $2,105 | 186% |
| Caresource | $458 | 188% |
| Medicaid / KanCare | $458 | 188% |
| Spreemo | $500 | 205% |
| Work Comp | $505 | 207% |
| Lutheran Preferred | $510 - $1,684 | 209% |
| Php Freedom Network | $557 | 228% |
| Cigna | $578 - $2,807 | 237% |
| Encore Kba Epo | $606 | 249% |
| Three Rivers | $690 | 283% |
| Php | $716 - $1,122 | 294% |
| Encore Kba Ppo | $757 | 311% |
| Multiplan | $1,236 - $2,189 | 507% |
| Sagamore | $1,273 | 522% |
| Encore Ppo | $1,304 - $2,526 | 535% |
| First Health | $1,343 - $2,105 | 551% |
| Align Network | $1,433 - $2,246 | 588% |
| Frontpath Health Coalition | $1,433 - $2,246 | 588% |
| Advantage Health Solutions | $1,487 - $2,330 | 610% |
| Allied Benefit Systems | $1,612 - $2,526 | 661% |
| Medical Mutual Of Ohio | $1,791 - $2,807 | 735% |
| Parkview Healthplan Services | $1,791 - $2,807 | 735% |
| Value Options | $1,791 - $2,807 | 735% |