CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Deaconess Henderson Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $215
  • Cash Discount Price: $614
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Deaconess Henderson Hospital is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $614. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.88x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$614

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $614 (252%)
Insurance Median: $215 (88%)
Cash: $614 (252% of Medicare)
Ins. Median: $215 (88% 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 $63 - $1,986 26%
Blue Cross Blue Shield $63 - $215 26%
Humana $63 - $1,638 26%
Medicare (plans) $63 - $215 26%
Mhs Mco $63 - $215 26%
Molina Healthcare Of Ky $63 - $215 26%
Molina Healthcare Of Ky - Exchange $63 - $215 26%
Mytru Advantage $63 - $215 26%
Umwa $63 - $215 26%
UnitedHealthcare $63 - $409 26%
Wellcare Il $63 - $215 26%
Wellcare Ky $63 - $336 26%
Medicaid / KanCare $64 - $409 26%
Caresource In $66 - $115 27%
Center Care Narrow $67 - $870 27%
Center Care Open Access $67 - $1,075 27%
Caresource In Marketplace $82 - $323 34%
Wellcare Ky Commercial Exchange $82 - $441 34%
Alliance Coal $87 - $323 36%
Noncontracted $101 - $344 41%
Encircle/Encore Combined $104 - $1,185 43%
Encircle/Encore Prime $104 - $1,104 43%
Ky Racing Health & Welfare Fund $217 - $594 89%
Self-Pay $217 - $614 89%
First Health Network (Coventry) $230 - $1,740 94%
Healthlink $230 - $1,535 94%
Iu Health Plans $230 - $1,128 94%
Phcs/Multiplan $230 - $1,842 94%
Sagamore $230 - $1,801 94%
Amish And Mennonite Of Western Ky $323 - $1,065 133%
Cigna $372 - $1,310 153%
Claimdoc $372 - $1,228 153%
Hopetrust $372 - $983 153%
Hstechnology $372 - $983 153%
One Care $473 194%
Coventry National Network $496 - $1,638 203%
Webster County Detention Center $496 - $1,638 203%
Henderson County Detention Center $558 - $1,842 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals