CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Oakdale Community Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $2,125
  • Cash Discount Price: $730
  • vs. Medicare Baseline: 8.72x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Oakdale Community Hospital is $2,125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $730. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.72x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$730

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,125

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: $730 (299%)
Insurance Median: $2,125 (872%)
Cash: $730 (299% of Medicare)
Ins. Median: $2,125 (872% 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 872% of the Medicare baseline (a markup of 772%). 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
Blue Cross Blue Shield $382 157%
Aetna $616 - $2,052 253%
Meritain $616 - $2,052 253%
Amfirst $730 299%
Self Pay $730 299%
Medicaid / KanCare $809 332%
UnitedHealthcare $809 332%
Humana $889 - $2,301 365%
Web-Tpa $1,826 749%
Cigna $1,990 - $2,060 816%
Ima $2,191 - $3,652 899%
Ppo Plus $2,191 899%
Wc Gulf South Risk Srvcs $3,287 1348%
Wc Martco $3,287 1348%
Wc Misc $3,287 1348%
Wc Risk Mgmnt-Baton Rouge $3,287 1348%
Wc Sedwick Workmans Comp $3,287 1348%
Wc Us Department Of Labor $3,287 1348%
American Public Life $3,652 1498%
American Retirement Life $3,652 1498%
Apwu $3,652 1498%
Auto Liability $3,652 1498%
Bankers Life $3,652 1498%
Correct Care $3,652 1498%
Fox Everitt $3,652 1498%
Mailhandlers Benefit Plan $3,652 1498%
Medishare $3,652 1498%
Medplus $3,652 1498%
Misc Commerical $3,652 1498%
Phcs $3,652 1498%
Physicians Mutual $3,652 1498%
State Farm-La $3,652 1498%
Triwest $3,652 1498%
Us Family Health Plan $3,652 1498%
Usaa $3,652 1498%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals