CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mountainview Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,294
  • Cash Discount Price: $9,171
  • vs. Medicare Baseline: 5.31x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mountainview Hospital is $1,294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,171. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.31x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.
Cash / Self-Pay
$9,171

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,294

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: $9,171 (3762%)
Insurance Median: $1,294 (531%)
Cash: $9,171 (3762% of Medicare)
Ins. Median: $1,294 (531% 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 531% of the Medicare baseline (a markup of 431%). 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
Blue Cross Blue Shield $70 - $251 29%
Ambetter / Centene $82 - $1,926 34%
United $167 - $1,999 69%
Sierra $400 164%
Cigna $1,214 498%
Aetna $1,374 564%
Select Health $1,981 - $2,114 813%
Corvel $2,260 927%
Olympus Medsave Usa $2,379 - $6,878 976%
Prominence Healthfirst $2,751 1129%
Cmn Global $3,852 1580%
Emerging Therapy Solutions $4,494 - $6,145 1844%
Nv Health & Welfare Trust $5,503 2257%
Multiplan $5,778 - $6,695 2370%
First Health $6,053 - $7,337 2483%
Medcare International $6,878 2822%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 N Tenaya Way, Las Vegas, NV 89128
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals