CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Crossgates River Oaks Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $231
  • Cash Discount Price: $887
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Crossgates River Oaks Hospital is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $887. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.95x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$887

Average discount available for prompt cash payment at this facility.

Insurance Median
$231

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: $887 (364%)
Insurance Median: $231 (95%)
Cash: $887 (364% of Medicare)
Ins. Median: $231 (95% 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
Cigna $23 - $8,093 9%
Self Pay $31 - $3,237 13%
UnitedHealthcare $32 - $3,353 13%
Trimed Billing Solutions $33 - $3,469 14%
Ms State Hospital Of Whitfield $42 - $4,394 17%
First Choice Standard $51 - $5,319 21%
First Choice Coventry $58 - $6,012 24%
First Choice Mpcn Standard $61 - $6,359 25%
First Choice Ppo Plus $61 - $6,359 25%
Phcs $66 - $6,937 27%
Benefit Management Systems $80 - $9,828 33%
First Choice Stratose $89 - $9,250 37%
Prime Health Services $89 - $9,250 37%
American Health Group $94 - $9,828 39%
Beech Street $94 - $9,828 39%
Ibew $94 - $9,828 39%
One Health Plan $100 - $10,406 41%
Ms Dept Of Rehabilitation Services $111 - $5,166 46%
Veterans Eval Services $111 - $206 46%
Medicaid / KanCare $184 - $1,763 75%
Magnolia Mcd Chip $186 76%
Caresource Truecare $188 77%
Molina Chip $199 82%
Tricare $205 84%
Node Champva $215 88%
Humana $227 93%
Medicare (plans) $227 93%
Node First Choice Shared Health Of Ms Mcr Adv $227 93%
Node Vantage Health Mcr Adv $227 93%
Node Windsor Mcr Adv $227 93%
Node Magnolia Mcr Adv $229 94%
Node Hospice Non Par Agree $231 95%
Node Va $231 95%
Molina $232 95%
Node Devoted Health Mcr Adv $232 95%
Node First Choice American Health Of Ms Mcr Adv $232 95%
Aetna $234 - $650 96%
Node First Choice Wellcare Mcr Adv $235 96%
Node Healthy Mississippi Mcr Adv $254 104%
Ms Work Comp $261 107%
Prime Health Wc $261 107%
Node Us Dept Of Labor $288 118%
First Choice Preferred $346 142%
Node First Choice Occunet $346 142%
Molina Exchange $362 149%
Node Magnolia Exchange $404 166%
Advanced Health Systems $486 199%
First Choice Lgp $503 206%
Vantage Health Commercial $519 213%
Blue Cross Blue Shield $625 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals