CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mercy Rehabilitation Hospital Springfield

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $622
  • Cash Discount Price: $622
  • vs. Medicare Baseline: 2.55x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mercy Rehabilitation Hospital Springfield is $622. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $622. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.55x the Medicare baseline. Located in 5904 S Southwood Rd, Springfield, MO.
Cash / Self-Pay
$622

Average discount available for prompt cash payment at this facility.

Insurance Median
$622

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: $622 (255%)
Insurance Median: $622 (255%)
Cash: $622 (255% of Medicare)
Ins. Median: $622 (255% 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 255% of the Medicare baseline (a markup of 155%). 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
Aetna $373 - $622 153%
Blue Preferred $450 185%
Firsthealth Network $454 186%
Blue Cross Blue Shield $473 - $622 194%
Healthlink Workcomp $529 217%
Allwell From Home State Health $622 255%
Allyalign Health (Nhc Advantage) $622 255%
Ambetter / Centene $622 255%
Architectural Systems, Inc. (Asi) $622 255%
Ava R1 School District (Smbc) $622 255%
Bakersfield School District (Smbc) $622 255%
Blue Access $622 255%
Bolivar School (Smbc) $622 255%
Buchheit $622 255%
Cardinal Scale (Tri State Healthcare Coalition) $622 255%
Carthage R-9 School District (Tri-State Healthcare Coalition) $622 255%
Cigna $622 255%
City Of Springfield $622 255%
City Of Webb City (Tri State Healthcare Coalition) $622 255%
Devoted Healthcare $622 255%
Diversified Plastics $622 255%
Dora School District (Smbc) $622 255%
Easter Seals Midwest $622 255%
Employers Benefit Alliance $622 255%
Essence $622 255%
Evolutions $622 255%
Fabick Cat $622 255%
Fair Grove School District (Smbc) $622 255%
Health Net Federal Services $622 255%
Health Systems, Inc. $622 255%
Healthlink Hmo $622 255%
Healthlink Ppo $622 255%
Heart Of America (Tri State Healthcare Coalition &Amp;#8211; Med Pay) $622 255%
Hickory County Skyline School District (Smbc) $622 255%
Home State Health Plan, Inc. $622 255%
Humana $622 255%
J And M Farms, Inc. (Tri-State Healthcare Coalition) $622 255%
Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) $622 255%
Laclede County School District Conway (Smbc) $622 255%
Lebanon School District (Smbc) $622 255%
Liberty Utilities (Empire District Electric) $622 255%
Marshfield School District (Smbc) $622 255%
Medica $622 255%
Medicaid / KanCare $622 255%
Mercy Charity Contract $622 255%
Mers Goodwill $622 255%
Missouri State University $622 255%
Mount Vernon School District (Smbc) $622 255%
Mountain Grove R-111 School District (Smbc) $622 255%
Mountain View School District (Smbc) $622 255%
Multiplan/Phcs/Beech Street $622 255%
Ozarks Community Hospital $622 255%
Pathway/Pathway X $622 255%
Phcs Savility $622 255%
Quality Collisson Group $622 255%
Quiktrip Corporation $622 255%
Richards R-V School District (Smbc) $622 255%
Roper Automotive Group (Tri State Healthcare Coalition) $622 255%
S And H Farm Supply $622 255%
Schreiber Foods $622 255%
Shinesolar $622 255%
Springfield Public Schools $622 255%
Springfield Remanufacturing $622 255%
Trailiner $622 255%
UnitedHealthcare $622 255%
Webb City R-Vii School District (Tri-State Healthcare Coalition) $622 255%
Wellcare Health Plans $622 255%
Woodard Cleaning &Amp;#038; Restoration, Inc. $622 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5904 S Southwood Rd, Springfield, MO 65804
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL