CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Cambridge Health Alliance

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $2,467
  • Cash Discount Price: $2,467
  • vs. Medicare Baseline: 10.12x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Cambridge Health Alliance is $2,467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,467. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.12x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.
Cash / Self-Pay
$2,467

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,467

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: $2,467 (1012%)
Insurance Median: $2,467 (1012%)
Cash: $2,467 (1012% of Medicare)
Ins. Median: $2,467 (1012% 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 1012% of the Medicare baseline (a markup of 912%). 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 $285 - $2,467 117%
Other Tufts Health Public Plan [75002] $462 190%
Aarp [40001] $529 217%
Oxford Health [40004] $529 217%
United Medical Resource [40005] $529 217%
UnitedHealthcare $529 - $664 217%
Wellpoint [50012] $593 243%
Wc [90001] $655 269%
Health Plans Inc [20002] $664 272%
Hphc [20001] $664 272%
Cigna $744 - $2,467 305%
Tufts Health Plan [30001] $744 - $924 305%
Aetna $991 - $2,467 407%
Mass General Brigham [50021] $1,569 644%
Multiplan [50010] $1,678 688%
Altus Dental [99011] $2,467 1012%
Beacon Health Strategies [50002] $2,467 1012%
Cbhc Uninsured Crisis Alt Payer [70097] $2,467 1012%
Cbhc Uninsured Crisis [70096] $2,467 1012%
Celticare [50004] $2,467 1012%
Commonwealth Care Alliance Dental [99004] $2,467 1012%
Coverage Discovery [90004] $2,467 1012%
Delta Dental Of Ma [99007] $2,467 1012%
Dominion National Dental [99012] $2,467 1012%
Dph Tb Payor [85004] $2,467 1012%
Esp Dental [99003] $2,467 1012%
Eyemed Alt Payor [13001] $2,467 1012%
First Health [50007] $2,467 1012%
Global Medical Management [50024] $2,467 1012%
Government Employee Health Association [50023] $2,467 1012%
Guardian Dental [99013] $2,467 1012%
Health Safety Net Dental [99002] $2,467 1012%
Humana $2,467 1012%
Ma Laborers Health And Welfare Fund [50022] $2,467 1012%
Magellan Health Services [65098] $2,467 1012%
Mass Health Dental [99001] $2,467 1012%
Medical Mutual Of Ohio [50019] $2,467 1012%
Medicare (plans) $2,467 1012%
Metlife Dental [99008] $2,467 1012%
Modern Assistance Program [30098] $2,467 1012%
Mva [90002] $2,467 1012%
Neighborhood Health Plan [50011] $2,467 1012%
Other Bh Payor [50014] $2,467 1012%
Other Commercial Payor [50015] $2,467 1012%
Other Dental Payor [99014] $2,467 1012%
Other Dual Eligible Payer [65004] $2,467 1012%
Other Gov'T Alt [85006] $2,467 1012%
Other Vision Payor [50013] $2,467 1012%
Ri Neighborhood Health Plan [50017] $2,467 1012%
Tricare $2,467 1012%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals