MRI, lower back (no contrast)
Facility: Kosciusko Community Hospital
Billing Code: 72148 (CPT)
- CPT Billing Code: 72148
- Insurance Median: $1,194
- Cash Discount Price: $902
- vs. Medicare Baseline: 4.90x 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 490% of the Medicare baseline (a markup of 390%). 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 |
|---|---|---|
| Amish Aid | $68 - $1,379 | 28% |
| Self Pay | $68 - $2,561 | 28% |
| Lutheran Preferred Network | $103 - $5,253 | 42% |
| Physicians Health Plan | $120 - $3,026 | 49% |
| Php Freedom Network | $126 - $2,536 | 52% |
| UnitedHealthcare | $127 - $3,309 | 52% |
| Encore | $130 - $2,626 | 53% |
| Aetna | $133 - $3,493 | 55% |
| Connecticut General Life Insurance Company | $191 - $3,867 | 78% |
| Cigna | $205 - $4,150 | 84% |
| Veterans Eval Services | $222 | 91% |
| Tricare | $240 | 98% |
| First Health Network | $244 - $4,924 | 100% |
| Prime Health Services | $244 - $4,924 | 100% |
| Department Of Veterans Affairs | $252 | 103% |
| Blue Cross Blue Shield | $266 - $1,037 | 109% |
| Humana | $266 - $458 | 109% |
| Medicare (plans) | $266 | 109% |
| Mhs | $266 - $458 | 109% |
| Advantage Health | $270 - $5,450 | 111% |
| Iu Health | $270 | 111% |
| Node Non Par Hospice Agree | $270 | 111% |
| Node Va | $270 | 111% |
| Node Devoted Health Mcr Adv | $271 | 111% |
| Private Healthcare Systems | $280 - $5,647 | 115% |
| In Dept Of Correction | $281 | 115% |
| Node Pphp Mcr Adv | $284 | 117% |
| Sagamore | $286 - $6,172 | 117% |
| Encore Health Network | $302 - $6,106 | 124% |
| Us Department Of Labor | $338 | 139% |
| Caresource | $352 - $458 | 144% |
| Lutheran Advanced Network | $406 | 167% |
| Lutheran Preferred | $406 - $541 | 167% |
| Align In Work Comp | $433 | 178% |
| One Call Work Comp | $433 | 178% |
| Managed Health Services | $458 | 188% |
| Medicaid / KanCare | $458 | 188% |
| Encore Work Comp In | $487 | 200% |
| Managed Health Services Exchange | $541 | 222% |
| Workers Comp | $541 | 222% |
| One Call Care Diagnostics Wc | $600 | 246% |
| Encore Kba Epo | $649 | 266% |
| Trma Inc | $656 - $690 | 269% |
| Encore Kba Ppo | $811 | 333% |