CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Maimonides Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $74
  • Cash Discount Price: $1,854
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Maimonides Medical Center is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,854. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.30x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$1,854

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $1,854 (761%)
Insurance Median: $74 (30%)
Cash: $1,854 (761% of Medicare)
Ins. Median: $74 (30% 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
United Community Plan $33 - $328 14%
UnitedHealthcare $33 - $348 14%
Healthfirst $36 - $292 15%
Emblem Health - Hip $37 - $185 15%
Blue Cross Blue Shield $40 - $630 16%
Fidelis $44 - $89 18%
Molina $46 - $140 19%
Metroplus $59 - $357 24%
Aetna $60 - $298 25%
Elderplan $61 - $92 25%
Visiting Nurse Svc Of Ny $62 - $77 25%
Wellcare $62 - $75 25%
Cigna $64 - $336 26%
Villagecare Maxx Fida $72 30%
Emblem Health - Hip Vip $75 - $77 31%
Centers Plan For Healthy Living $76 31%
Emblem Health - Ghi $76 - $905 31%
Local 1199 $94 - $634 39%
Oxford Health Plan $348 143%
Oxford Liberty $348 143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals