CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Kiowa District Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $898
  • Cash Discount Price: $760
  • vs. Medicare Baseline: 3.68x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Kiowa District Hospital is $898. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $760. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.68x the Medicare baseline. Located in 1002 South 4Th Street, Kiowa, KS.
Cash / Self-Pay
$760

Average discount available for prompt cash payment at this facility.

Insurance Median
$898

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: $760 (312%)
Insurance Median: $898 (368%)
Cash: $760 (312% of Medicare)
Ins. Median: $898 (368% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 368% of the Medicare baseline (a markup of 268%). 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.

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
Tricare $370 152%
Blue Cross Blue Shield $521 214%
Healthchoice-All Plans $583 239%
UnitedHealthcare $760 - $950 312%
Health Partners Of Ks-All Plans $836 343%
Humana $857 352%
Gbs Insurance - All Plans $893 366%
Multiplan-All Plans $893 366%
Aetna $902 370%
Triwest-All Plans $902 370%
Medicare (plans) $902 370%
Medicaid / KanCare $950 390%
Providers Care (Wppa)-All Plans $1,425 585%
Liberty Healthshare-All Plans $1,534 629%

Consumer Guidance & Cost Commentary

For the MRI, lower back (no contrast) procedure at Kiowa District Hospital, the cash price is $760, which is significantly lower than the median negotiated rates of $893 to $898 paid by most insurance plans. While the facility's cash rate is higher than the Medicare benchmark of $243.77, it remains the most affordable option for patients without insurance or those with high-deductible plans where the insurance allowed amount might exceed the cash price. The facility is a Critical Access Hospital in Kiowa, Kansas, and while specific county or state average data is not provided in this report, patients should be aware that commercial negotiated rates often include administrative overhead that can inflate the final cost compared to direct payment.

Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying the full bill upfront can sometimes reduce the amount owed by 20% to 50%. It is important to note that even though this facility is in-network for many carriers, the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, though unexpected ancillary charges could still occur. To ensure you are receiving the most accurate pricing, always request an itemized bill before paying and verify your deductible status, as paying the negotiated rate without meeting your deductible may result in higher out-of-pocket costs than paying the cash price directly.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1002 South 4Th Street, Kiowa, KS 67070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals