CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Acadian Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $4,267
Cash Discount Price: $1,280
vs. Medicare Baseline: 17.50x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Acadian Medical Center is $4,267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,280. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.50x the Medicare baseline. Located in 3501 Highway 190 East, Eunice, LA.

Cash / Self-Pay

$1,280

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,267

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: $1,280 (525%)

Insurance Median: $4,267 (1750%)

Cash: $1,280 (525% of Medicare)

Ins. Median: $4,267 (1750% 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 1750% of the Medicare baseline (a markup of 1650%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Pp0/Manged Care	$340 - $4,266	139%
Ppo/Manged Care	$340 - $4,266	139%
Blue Cross Blue Shield	$438	180%
Aetna	$806	331%
Mcd Hmo Amerigroup	$806	331%
Mcd Hmo La Care	$806	331%
Mcd Hmo La Hlth Cr Connct	$806	331%
Medicaid / KanCare	$806 - $4,266	331%
UnitedHealthcare	$806	331%
Mcd Hmo Com Hlth Solution	$887	364%
Charity/Map	$1,280 - $4,266	525%
American Postal Workers	$2,713	1113%
Work Comp	$3,840	1575%
Auto Insurance	$4,266	1750%
Bankers Fidelity	$4,266	1750%
Commerical	$4,266	1750%
Commerical Ip	$4,266	1750%
Industrial	$4,266	1750%
Medicare (plans)	$4,266	1750%
Mra Auto/Liability	$4,266	1750%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,280.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Acadian Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.