CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Boston Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $291
  • Cash Discount Price: $1,815
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Boston Medical Center is $291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,815. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.19x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$1,815

Average discount available for prompt cash payment at this facility.

Insurance Median
$291

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: $1,815 (745%)
Insurance Median: $291 (119%)
Cash: $1,815 (745% of Medicare)
Ins. Median: $291 (119% 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.

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
Harvard Pilgrim Health Care [8001] $231 95%
Health Plans Inc [2027] $231 95%
United [2025] $231 - $244 95%
Zzzhealth Plans Inc [1013] $231 95%
Zzzunited [1008] $231 - $244 95%
Oxford Health [1007] $244 100%
Oxford Health [2024] $244 100%
UnitedHealthcare $244 - $277 100%
Champva [9004] $273 112%
Tricare $273 112%
Aetna $277 - $1,973 114%
Blue Cross Blue Shield $277 - $574 114%
Humana $277 114%
Medicare (plans) $277 - $291 114%
Neighborhood Pace [1206] $277 114%
Tufts [8002] $277 - $771 114%
Ubh Hphc [8016] $277 114%
Veterans Admin [9003] $277 114%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $277 114%
Wellcare [1240] $288 118%
Cca [1215] $291 119%
Corrections [9001] $291 - $346 119%
Zzzcca Onecare [1216] $291 119%
Eternalhealth [1227] $294 121%
Fallon Sco [1126] $305 125%
Senior Whole Health [1210] $333 137%
Fallon [8008] $360 148%
Tufts Conncare/Qhp [8020] $394 - $431 162%
Hsn Bad Debt [4003] $513 210%
Hsn Confidential [4007] $513 210%
Hsn Dental [4006] $513 210%
Hsn Partial [4002] $513 210%
Hsn [4001] $513 210%
Unicare [8004] $516 212%
Wellpoint [2034] $516 212%
Workers Comp [5002] $580 238%
Zzzbu Employee Work Comp [5004] $580 238%
Zzzcity Of Boston Work Comp [5003] $580 238%
Cigna $771 - $3,429 316%
Medicaid / KanCare $1,452 596%
Uphams Corner Esp [1213] $1,614 662%
Meritain Health [1023] $1,775 728%
Mass General Brigham Health Plan Commercial [8009] $2,176 893%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals