CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Neosho Memorial Regional Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,122
  • Cash Discount Price: $2,629
  • vs. Medicare Baseline: 4.60x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Neosho Memorial Regional Medical Center is $1,122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,629. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.60x the Medicare baseline. Located in 629 South Plummer Ave, Chanute, KS.
Cash / Self-Pay
$2,629

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,122

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: $2,629 (1078%)
Insurance Median: $1,122 (460%)
Cash: $2,629 (1078% of Medicare)
Ins. Median: $1,122 (460% 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 460% of the Medicare baseline (a markup of 360%). 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
Medicaid / KanCare $131 54%
Blue Cross Blue Shield $610 - $1,122 250%
Tricare $1,080 443%
Medadv_Allwell $1,122 460%
Humana $1,122 460%
Aetna $1,122 460%
Medicare (plans) $1,122 460%
Va_Ccn $1,122 460%
Medadv_Uhc $1,122 460%
Ambetter / Centene $1,766 724%
Wppa_Providrscare $2,909 1193%
United $2,916 1196%
Coventry $3,330 1366%
Cigna $3,330 1366%
Hpk $3,330 1366%

Consumer Guidance & Cost Commentary

For the MRI of the lower back (no contrast) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's negotiated rates range from $131 to $2,916 depending on the insurance plan, with a median negotiated rate of $1,122. This commercial rate is significantly higher than the facility's cash price of $2,629 and the median paid amount of $2,418, suggesting that paying out-of-pocket may be more cost-effective for patients with high-deductible plans or those without insurance. The facility, a Critical Access Hospital owned by the local government, charges a Medicare benchmark of $243.77 for this service, indicating that the commercial negotiated rates represent a substantial markup over the federal baseline. Patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than self-pay options.

To minimize unexpected costs, patients should proactively request a "self-pay" or "prompt-pay" discount from the billing department before check-in, as these upfront payment incentives can reduce the total bill by 20% to 50%. If a patient receives a bill from an out-of-network provider or encounters unexpected charges at an in-network facility, they should dispute the amount immediately rather than paying it in full, as federal protections like the No Surprises Act may prevent balance billing for emergency or non-emergency services. Additionally, patients should demand a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. By comparing the facility's rates directly to the Medicare

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 629 South Plummer Ave, Chanute, KS 66720
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals