CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Bob Wilson Memorial Hospital

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$689
about 2.8× the $244 Medicare rate · typically $256–$1,251
modeled estimate · not a bill or quote
What this hospital charges insurers
$640
About the fair price
about $49 under the fair price · 2.6× Medicare
Medicare pays $244 Fair price $689 This hospital $640 Cash price $1,298 Hospital's list price $3,246

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $640

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a MRI, lower back (no contrast) is about $689 (about 2.8× the $244 Medicare rate). Bob Wilson Memorial Hospital charges insurers about $640, or about $1,298 in cash — about the fair price. Located in Ulysses, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,039 - $2,707 426%
Blue Cross Blue Shieldmajor $737 302%
Aetnamajor $1,039 - $2,597 426%
Humanamajor $1,039 426%
HealthPartners $3,051 1252%
+ 3 smaller / regional plans $543 - $3,084
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals