CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: The Women's Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $161
  • Cash Discount Price: $2,876
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at The Women's Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,876. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.66x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$2,876

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $2,876 (1180%)
Insurance Median: $161 (66%)
Cash: $2,876 (1180% of Medicare)
Ins. Median: $161 (66% 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
Aetna $64 - $3,247 26%
Humana $64 - $1,121 26%
Passport Molina Ky $64 - $1,121 26%
UnitedHealthcare $64 - $3,900 26%
Wellcare Ky $64 - $1,121 26%
Blue Cross Blue Shield $65 - $800 27%
Caresource $65 - $218 27%
Iu Health $65 - $2,437 27%
Meridian Health Il $65 - $218 27%
Mhs $65 - $218 27%
Molina Il $65 - $218 27%
Molina Ky $65 - $218 27%
Molina Ky Dual $65 - $218 27%
Patoka Valley Health Care (80/20 Plan) $65 - $3,022 27%
Patoka Valley Health Care (90/10 Plan) $65 - $2,925 27%
Caresource Hip $66 - $117 27%
Caresource In $66 - $117 27%
Chamber Care $66 - $3,412 27%
Mdwise Hip $66 - $117 27%
Mhs Behavioral $66 - $117 27%
Ambetter / Centene $75 - $339 31%
Immergrun $79 - $2,038 32%
Caresource Marketplace (Just4Me) $85 - $328 35%
One Care $85 - $3,412 35%
Amish $87 - $573 36%
Hst $88 - $328 36%
Alliance Coal $90 - $3,379 37%
Allied National/Zelis - Freedom Plan $91 - $535 37%
Claimdoc $94 - $317 39%
Encorecombined $104 - $3,412 43%
Encoreprime $104 - $3,315 43%
Hope Trust $104 - $360 43%
Noncontracted $104 - $349 43%
Self Pay $217 - $2,876 89%
Cigna $230 - $1,971 94%
Claritev (Formerly Phcs/Mulitplan) $230 - $3,364 94%
First Health/Coventry $230 - $3,607 94%
Healthlink $230 - $4,143 94%
Sagamore $230 - $1,971 94%
Center Care $372 - $3,802 153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals