CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $432
  • Cash Discount Price: $548
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Poplar Bluff Regional Medical Center is $432. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $548. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.77x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$548

Average discount available for prompt cash payment at this facility.

Insurance Median
$432

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: $548 (225%)
Insurance Median: $432 (177%)
Cash: $548 (225% of Medicare)
Ins. Median: $432 (177% 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
Medicaid / KanCare $22 - $1,445 9%
Self Pay $27 - $1,734 11%
Blue Cross Blue Shield $29 - $1,871 12%
UnitedHealthcare $60 - $3,887 25%
Cigna $61 - $5,781 25%
Evolutions Healthcare $61 - $3,938 25%
Tyson Foods $62 - $3,974 25%
Access Health Services, Llc $64 - $4,119 26%
Parker Hannifin $67 - $5,058 27%
Healthlink $70 - $4,516 29%
First Health $73 - $4,697 30%
Blue Traditional $83 - $5,575 34%
Coventry Wc $90 - $5,781 37%
Municipal Health $90 - $5,781 37%
Multiplan $97 - $6,286 40%
Phcs $97 - $6,286 40%
Compresults Wc $101 - $6,503 41%
Veterans Eval Services $112 - $208 46%
Node Champva $241 99%
Tricare $241 99%
Medicare (plans) $252 103%
Node United Behavioral Health Mcr Adv $252 103%
Humana $254 104%
Node Hospice Non Par Agree $256 105%
Node Va $256 105%
Node Ahs Mcr Adv $262 107%
Node Devoted Health Mcr Adv $264 108%
Node Pphp Mcr Adv $290 119%
Centurion Correctional $320 131%
Us Department Of Labor $320 131%
Naphcare $486 199%
Home State Exchange $640 263%
W W Wood $640 263%
Blue Access $874 359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals