CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Ochsner St Anne General Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $521
Cash Discount Price: $740
vs. Medicare Baseline: 2.14x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Ochsner St Anne General Hospital is $521. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $740. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.14x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$740

Average discount available for prompt cash payment at this facility.

Insurance Median

$521

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: $740 (304%)

Insurance Median: $521 (214%)

Cash: $740 (304% of Medicare)

Ins. Median: $521 (214% 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 214% of the Medicare baseline (a markup of 114%). 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
Medicaid / KanCare	$182	75%
Tricare	$468 - $520	192%
Humana	$501 - $521	206%
UnitedHealthcare	$501 - $521	206%
Healthy Blue (Healthy Louisiana)	$511	210%
Louisiana Healthcare Connections (Healthy Louisiana)	$511	210%
Aetna	$516 - $1,366	212%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$516	212%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$521	214%
Blue Cross Blue Shield	$521 - $1,299	214%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$521	214%
Medicare (plans)	$521	214%
Ochsner Health Plan	$521	214%
Healthcomp & Personify Health (Formerly Gilsbar)	$1,261	517%
Louisiana Workers' Compensation Corporation (Lwcc)	$1,261	517%
Mississippi Physicians Care Network	$1,261	517%
Employers Health Network (Ehn)	$1,429	586%
First Health Network	$1,429	586%
Prime Health Services Ppo	$1,429	586%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,513	621%
Usa Managed Care Network	$1,513	621%
Zelis	$1,513	621%
Cigna	$1,609	660%

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 $740.
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 Ochsner St Anne General Hospital 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.