CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Reeves Memorial Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,200
  • Cash Discount Price: $750
  • vs. Medicare Baseline: 4.92x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Reeves Memorial Medical Center is $1,200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $750. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.92x the Medicare baseline. Located in 409 First Street, Bernice, LA.
Cash / Self-Pay
$750

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,200

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: $750 (308%)
Insurance Median: $1,200 (492%)
Cash: $750 (308% of Medicare)
Ins. Median: $1,200 (492% 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 492% of the Medicare baseline (a markup of 392%). 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
Cigna $146 - $600 60%
Humana $189 - $1,750 78%
Blue Cross Blue Shield $708 - $1,200 290%
Medicare (plans) $1,200 492%
Aetna $1,500 615%
Vantage_Ppo_Plan $2,250 923%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 409 First Street, Bernice, LA 71222
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals