CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Byrd Regional Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,880
  • Cash Discount Price: $1,970
  • vs. Medicare Baseline: 15.92x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Byrd Regional Hospital is $3,880. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,970. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.92x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.
Cash / Self-Pay
$1,970

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,880

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: $1,970 (808%)
Insurance Median: $3,880 (1592%)
Cash: $1,970 (808% of Medicare)
Ins. Median: $3,880 (1592% 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 1592% of the Medicare baseline (a markup of 1492%). 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
Aetna $161 - $6,566 66%
Coventry Healthcare Of La $161 - $3,920 66%
Blue Cross Blue Shield $404 166%
Amerihealth Caritas $853 - $930 350%
Correct Care Int Hth $853 - $930 350%
Healthy Blue $853 - $930 350%
La Healthcare Conn Mdcaid $853 - $930 350%
Medicaid / KanCare $853 - $930 350%
UnitedHealthcare $853 - $6,566 350%
Humana $938 - $1,023 385%
Self Pay $1,970 808%
Cigna $3,880 - $4,176 1592%
Verity Health $4,596 1885%
Us Dept Of Labor $5,909 2424%
Workers Comp $5,909 2424%
Aflac $6,566 2694%
American Health Advantage $6,566 2694%
Amfirst $6,566 2694%
Hospice Of Leesville $6,566 2694%
Industrial $6,566 2694%
Misc Comm $6,566 2694%
Mischmoppo $6,566 2694%
Mutual Of Omaha $6,566 2694%
Mva $6,566 2694%
Phcs Private Health $6,566 2694%
Physicans Mutual $6,566 2694%
State Farm Insurance $6,566 2694%
Sterling $6,566 2694%
Stonetrust $6,566 2694%
Tri Parish Rehab $6,566 2694%
United Teacher Asso $6,566 2694%
Web Tpa $6,566 2694%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 Fertitta Blvd, Leesville, LA 71446
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals