CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Montefiore St Luke's Cornwall

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $471
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Montefiore St Luke's Cornwall is $471. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.93x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$471

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: $298 (122%)
Insurance Median: $471 (193%)
Cash: $298 (122% of Medicare)
Ins. Median: $471 (193% 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
Aetna $226 - $1,370 93%
Fidelis $238 - $345 98%
Geha $252 103%
Meritain Health $252 103%
Nippon Life Insurance $252 103%
Mediblue $289 119%
Affinity $298 - $505 122%
Blue Cross Blue Shield $298 - $1,811 122%
Cdphp $298 - $729 122%
Emblem $298 - $3,890 122%
Healthfirst $298 - $984 122%
Hudson Valley $298 122%
Oscar $298 - $471 122%
Point Comfort $298 122%
UnitedHealthcare $298 - $368 122%
Villagecaremax $298 122%
Vnsny Choice $298 122%
Centerlight $307 126%
Wellcare $307 126%
Hamaspik $322 132%
Humana $328 135%
American Postal Workers $368 151%
Medicaid / KanCare $505 207%
Mvp $774 318%
Northwell $801 329%
Centivo $3,064 1257%
Cigna $4,141 - $4,601 1699%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals