CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Ascension St Vincent Anderson

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $168
  • Cash Discount Price: $583
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Ascension St Vincent Anderson is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.69x the Medicare baseline. Located in 2015 Jackson St, Anderson, IN.
Cash / Self-Pay
$583

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $583 (239%)
Insurance Median: $168 (69%)
Cash: $583 (239% of Medicare)
Ins. Median: $168 (69% 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.

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
UnitedHealthcare $35 - $489 14%
Blue Cross Blue Shield $53 - $647 22%
Medicaid / KanCare $53 - $167 22%
Mhs Care Connect $53 - $167 22%
Aetna $168 - $700 69%
Ambetter / Centene $168 69%
Ascension Complete Mcr $168 69%
Caresource Marketplace $168 69%
Corizon $168 69%
Humana $168 69%
Immergrun $168 69%
Medicare (plans) $168 69%
Personalized Care $168 69%
Secure Horizons-Pacificare $168 69%
Smarthealth Ppo $266 109%
Smarthealth Ppo/Hdhp 20161001 $266 109%
Encore Exclusive $308 126%
Patoka Valley Tier 1 $308 126%
Patoka Valley Tier 2 $308 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2015 Jackson St, Anderson, IN 46016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals