CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Saint Joseph Mount Sterling

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$612
about 2.5× the $244 Medicare rate · typically $267–$999
modeled estimate · not a bill or quote
What this hospital charges insurers
$702
About the fair price
about $90 over the fair price · 2.9× Medicare
Medicare pays $244 Fair price $612 This hospital $702 Cash price $999 Hospital's list price $2,725

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $117 Priciest $702

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

A fair price for a MRI, lower back (no contrast) is about $612 (about 2.5× the $244 Medicare rate). Saint Joseph Mount Sterling charges insurers about $702, or about $999 in cash — about the fair price. Located in Mount Sterling, KY.

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 $232 - $1,242 95%
Blue Cross Blue Shieldmajor $227 - $1,116 93%
Aetnamajor $234 - $2,006 96%
Humanamajor $227 - $1,287 93%
CareSource $455 187%
Molina $239 - $702 98%
WellCare $227 - $627 93%
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: 225 Falcon Drive, Mount Sterling, KY 40353
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals