CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Helen Newberry Joy Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $194
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Helen Newberry Joy Hospital is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.80x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $124 (51%)
Insurance Median: $194 (80%)
Cash: $124 (51% of Medicare)
Ins. Median: $194 (80% 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
Mi Wc - All Plans $79 - $2,144 32%
Aetna $112 - $3,182 46%
Uphg Tpa - All Plans $112 - $3,015 46%
First Health - All Plans $118 - $3,182 48%
Ppom/Cofinity - All Plans $118 - $3,182 48%
Cigna $120 - $3,249 49%
Health Alliance - All Plans $120 - $3,249 49%
Healtheos - All Plans $120 - $3,249 49%
Priority Health - All Plans $120 - $3,249 49%
UnitedHealthcare $120 - $3,249 49%
Vital Core - All Plans $120 - $3,250 49%
Blue Cross Blue Shield $122 - $3,307 50%
Uphp Mcaid - All Plans $229 - $1,574 94%
Va - All Plans $253 - $1,373 104%
Humana $321 - $1,340 132%
Mi Health Link - All Plans $321 - $1,340 132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Harrie St, Newberry, MI 49868
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals