CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $400
  • Cash Discount Price: $2,267
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Rockcastle County Hospital, Inc. is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,267. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.64x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$2,267

Average discount available for prompt cash payment at this facility.

Insurance Median
$400

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: $2,267 (930%)
Insurance Median: $400 (164%)
Cash: $2,267 (930% of Medicare)
Ins. Median: $400 (164% 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
Tricare $168 69%
Blue Cross Blue Shield $224 - $1,000 92%
Caresource Mcr Adv-All Other Plans $224 92%
Humana $224 92%
Molina Marketplace - All Other Plans $224 92%
Molina Mcr Adv $224 92%
Signature Mcr Adv-All Plans $224 92%
Wellcare Mcr Adv-All Other Plans $224 92%
Caresource Mcaid $400 164%
Coventry Mcaid-All Plans $400 164%
Medicaid / KanCare $400 164%
Molina Mcaid $400 164%
Passport Hp Hmo - All Plans $400 164%
UnitedHealthcare $400 - $704 164%
Multiplan-All Plans $2,536 1040%
Prime Health Services-All Plans $2,536 1040%
Integrated Hp-All Plans $2,655 1089%
Corvel - All Plans $2,685 1101%
Center Care-All Plans $2,834 1163%
Cigna $2,894 1187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals