CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Wheatland Memorial Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $206
  • Cash Discount Price: $930
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Wheatland Memorial Hospital is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $930. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.85x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.
Cash / Self-Pay
$930

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

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: $930 (382%)
Insurance Median: $206 (85%)
Cash: $930 (382% of Medicare)
Ins. Median: $206 (85% 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
UnitedHealthcare $63 - $1,599 26%
Blue Cross Blue Shield $68 - $111 28%
Healthnet Federal-All Plans $68 - $995 28%
Humana $68 - $995 28%
Pacific Source Mcr Adv $68 - $995 28%
Triwest-All Plans $68 - $995 28%
Medica Prime Solutions-All Plans $70 - $995 29%
Naphcare-All Plans $110 45%
Allegiance Provider-All Plans $113 - $1,387 46%
First Choice Big Sky-All Plans $114 - $1,550 47%
6 Degrees Health-All Plans $123 - $1,550 50%
Ccn-All Plans $123 - $1,583 50%
First Health-All Plans $123 - $1,566 50%
Community Health Ntwk-All Plans $124 - $1,550 51%
Interwest Ppo-All Plans $124 - $1,550 51%
Mountain Health Co-Op-All Plans $124 - $1,550 51%
Rocky Mountain Health Network-All Plans $124 - $1,550 51%
Pacific Steel & Recycling-All Plans $136 - $1,550 56%
City Of Billings-All Plans $148 - $2,448 61%
Pacific Source-All Other Plans $154 - $1,550 63%
Amish Old Orders-All Plans $172 - $1,224 71%
Fedmed Network-All Plans $195 - $1,550 80%
Americas Choice-All Plans $218 - $1,550 89%
Three Rivers-All Plans $218 - $1,550 89%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 530 3Rd St Nw, Harlowton, MT 59036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals