CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Union Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $227
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Union Hospital is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $983. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.93x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $983 (403%)
Insurance Median: $227 (93%)
Cash: $983 (403% of Medicare)
Ins. Median: $227 (93% 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
Summacare $43 - $1,432 18%
Aetna $66 - $2,046 27%
Blue Cross Blue Shield $66 - $806 27%
Cigna $66 - $681 27%
Humana $66 - $223 27%
The Health Plan $66 - $1,301 27%
United $66 - $747 27%
Valor $66 - $223 27%
Mmo $68 - $1,432 28%
Aultcare $69 - $681 28%
Communicare $69 - $235 28%
Perennial Health $71 - $241 29%
Pphp $71 - $246 29%
Zing Health $73 - $246 30%
Cc Ehp $74 - $1,129 30%
Oscar $142 - $582 58%
Buckeye $188 - $224 77%
Molina $188 - $235 77%
Caresource $198 - $224 81%
Amerihealth $207 - $246 85%
Ohcp $207 - $796 85%
UnitedHealthcare $212 - $223 87%
Devoted Health $223 91%
Upmc $223 - $1,228 91%
Omas $266 - $1,023 109%
Healthsmart $293 - $1,125 120%
Phphi $320 - $1,228 131%
Gms $373 - $1,432 153%
Consociate Health $400 - $1,534 164%
Multiplan $480 - $1,841 197%
Amish Community Aid Plan $681 - $756 279%
Ohio Healthy $817 335%
Php $908 372%
Medical Benefit Corp $1,059 434%
Frontpath $1,362 559%
Managed Care Services $1,362 559%
Tertiary Care Network $1,362 559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals