CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mercy Hospital Aurora

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $2,601
  • Cash Discount Price: $1,998
  • vs. Medicare Baseline: 10.67x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mercy Hospital Aurora is $2,601. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,998. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.67x the Medicare baseline. Located in 500 Porter Avenue, Aurora, MO.
Cash / Self-Pay
$1,998

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,601

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: $1,998 (820%)
Insurance Median: $2,601 (1067%)
Cash: $1,998 (820% of Medicare)
Ins. Median: $2,601 (1067% 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 1067% of the Medicare baseline (a markup of 967%). 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
Medicaid / KanCare $131 - $1,559 54%
Medicare (plans) $226 - $910 93%
Blue Cross Blue Shield $317 - $3,074 130%
UnitedHealthcare $317 - $2,920 130%
Aetna $875 - $2,736 359%
Cherokee Nation Health Serv Contracted [320066] $875 359%
Cigna $875 - $2,613 359%
Cross Timbers Hospice [20098] $875 359%
Elara Caring Aspire Hospice [20433] $875 359%
Globalhealth Contracted [320145] $875 359%
Halo Hcr Inc Hospice Contracted [320432] $875 359%
Halo Hcr Inc Hospice [20432] $875 359%
Humana $875 - $2,613 359%
Indian Health Service Contracted [320198] $875 359%
Kindful Hospice Contracted [320434] $875 359%
Kindful Hospice [20434] $875 359%
Medical Associates Health Contracted [320444] $875 359%
Mercy Hospice Okc [20252] $875 359%
Mercy Mgd Behavioral Health Contracted [320259] $875 359%
Pace Of The Ozarks Contracted [320518] $875 359%
Provider Partners Health Plans Contracted [320450] $875 359%
Qual Choice Contracted [320325] $875 359%
Tricare $894 367%
Dept Of Veteran Affairs Contracted [320106] $895 367%
Healthscope Contracted [320182] $1,133 465%
Centivo Contracted [320505] $1,230 505%
Administrative Payor Contracted [320005] $1,383 567%
Ambetter / Centene $1,559 640%
Home State Health Plan Contracted [320187] $1,559 640%
Novasys Contracted [320285] $1,559 640%
Healthlink Contracted [320179] $1,998 - $2,767 820%
Preferred Health Plan Contracted [320522] $1,998 820%
Health Systems Inc Contracted [320174] $2,459 1009%
Insurance System Inc Contracted [320465] $2,459 1009%
Point C Contracted [320238] $2,459 - $2,613 1009%
Point C [20238] $2,459 1009%
Workers Comp [20426] $2,459 - $2,613 1009%
Medica Contracted [320239] $2,601 1067%
90 Degree Benefits Contracted [320436] $2,613 1072%
Aither Health Contracted [320449] $2,613 1072%
American Healthcare Alliance Contracted [320020] $2,613 1072%
Auxiant Contracted [320462] $2,613 1072%
Benefit Management Contracted [320052] $2,613 1072%
Ebms Contracted [320493] $2,613 1072%
Edison Health Solutions Contracted [320502] $2,613 1072%
Evolutions Health Care Contracted [320124] $2,613 1072%
First Health Contracted [320128] $2,613 1072%
Imagine 360 Contracted [320494] $2,613 1072%
Mercy Benefit Admin Contracted [320251] $2,613 1072%
Reflect Health Contracted [320492] $2,613 1072%
Show-Me Health Administrators Contracted [320483] $2,613 1072%
United Medical Resources Contracted [320454] $2,613 - $2,705 1072%
Yuzu Health Contracted [320521] $2,613 1072%
Usa Managed Care Org Contracted [320429] $2,705 1110%
Multiplan Contracted [320270] $2,920 1198%
Private Health Care Systems Contracted [320320] $2,920 1198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Porter Avenue, Aurora, MO 65605
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals