CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Columbia Memorial Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $76
  • Cash Discount Price: $1,236
  • vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Columbia Memorial Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,236. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.31x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.
Cash / Self-Pay
$1,236

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $1,236 (507%)
Insurance Median: $76 (31%)
Cash: $1,236 (507% of Medicare)
Ins. Median: $76 (31% 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 $29 - $371 12%
Mvp $51 - $1,108 21%
Cdphp $53 - $1,188 22%
Medicare (plans) $54 - $72 22%
Blue Cross Blue Shield $61 - $977 25%
Tricare $61 - $72 25%
Medicaid / KanCare $62 - $528 25%
Hamaspik $68 - $718 28%
Emblem Health Ghi $69 28%
Fidelis $69 - $1,188 28%
Aetna $74 - $1,025 30%
Blue Shield Highmark $77 - $91 32%
Cigna $209 86%
Emblem $279 - $465 114%
Empire Plan Nyship $357 146%
Blue Shield $416 - $438 171%
Herrington Diversified Pdh $429 176%
Mvp Commercial $1,400 574%
Magnacare $1,903 - $1,989 781%
Multiplan $2,224 - $2,325 912%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Prospect Avenue, Hudson, NY 12534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals