CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Medicine Lodge Memorial Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $691
  • Cash Discount Price: $727
  • vs. Medicare Baseline: 2.83x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Medicine Lodge Memorial Hospital is $691. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $727. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.83x the Medicare baseline. Located in 710 N Walnut Street, Medicine Lodge, KS.
Cash / Self-Pay
$727

Average discount available for prompt cash payment at this facility.

Insurance Median
$691

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: $727 (298%)
Insurance Median: $691 (283%)
Cash: $727 (298% of Medicare)
Ins. Median: $691 (283% 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 283% of the Medicare baseline (a markup of 183%). 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 $583 239%
Humana $662 272%
Aetna $673 - $727 276%
UnitedHealthcare $691 283%
Hpk-All Plans $691 283%
Medicaid / KanCare $727 298%

Consumer Guidance & Cost Commentary

For the MRI, lower back (no contrast) procedure at Medicine Lodge Memorial Hospital in Medicine Lodge, KS, the cash price is $727.00, which matches the facility's gross charge and the highest negotiated rate among payers. While the median negotiated rate across six payers is $691.00, patients should be aware that cash payments can sometimes be more cost-effective than insurance claims, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. Although the data does not provide specific state or county average comparisons for this CPT code, the facility is a Critical Access Hospital owned by a Government Hospital District, which often influences pricing structures. Patients are encouraged to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.

It is important to distinguish between the facility's gross charge and the actual amount your insurance will pay, as balance billing could occur if you are treated by an out-of-network provider or if ancillary services like labs are not covered under your plan. Under the No Surprises Act, balance billing for emergency care and non-emergency services at in-network facilities is prohibited, but patients should still verify their network status before scheduling to avoid unexpected costs. If you receive a bill, you have the right to request a detailed, itemized statement to identify any errors, such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies that can be disputed in writing. By comparing the facility's rates against the Medicare benchmark of $

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N Walnut Street, Medicine Lodge, KS 67104
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals