CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Mount Carmel East & West
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $888
- Cash Discount Price: $1,236
- vs. Medicare Baseline: 3.64x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mount Carmel East & West is $888. 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 3.64x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$1,236
Average discount available for prompt cash payment at this facility.
Insurance Median
$888
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: $888 (364%)
Cash: $1,236 (507% of Medicare)
Ins. Median: $888 (364% 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 364% of the Medicare baseline (a markup of 264%). 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 |
|---|---|---|
| Medicare (plans) | $198 - $237 | 81% |
| Aetna | $221 - $1,902 | 91% |
| Blue Cross Blue Shield | $221 - $1,902 | 91% |
| Hospice Mount Carmel | $226 | 93% |
| Oscar | $226 | 93% |
| UnitedHealthcare | $226 - $1,904 | 93% |
| The Health Plan | $230 - $1,250 | 94% |
| Enterprise Group Planning | $436 | 179% |
| Custom Design Benefits | $472 | 194% |
| Quality Care Partners | $510 | 209% |
| Medical Mutual | $565 - $1,447 | 232% |
| Crime Victim Assistance | $632 | 259% |
| Ohio Safe Program | $632 | 259% |
| Western & Southern Financial Group | $785 | 322% |
| Geha | $854 - $1,904 | 350% |
| Gravie Admin Services | $854 | 350% |
| Healthez | $854 | 350% |
| Meritain | $854 | 350% |
| Webtpa | $854 | 350% |
| Blue Benefit Administrators Of Massachusetts | $858 | 352% |
| Blue Care Network | $858 | 352% |
| Blue Distinction Transplant | $858 | 352% |
| Blue Shield - Ca | $858 | 352% |
| Blue Shield - Id (Regence) | $858 | 352% |
| Blue Shield - Ny Highmark Northeastern | $858 | 352% |
| Blue Shield - Ny Highmark Western | $858 | 352% |
| Blue Shield - Pa (Highmark) | $858 | 352% |
| Blue Shield - Wa (Regence) | $858 | 352% |
| Access Health | $888 | 364% |
| Acclaim | $888 | 364% |
| Administrative Concepts | $888 | 364% |
| Allegeant | $888 | 364% |
| Allied Benefit Systems | $888 | 364% |
| American Family | $888 | 364% |
| American Healthcare Alliance | $888 | 364% |
| American National | $888 | 364% |
| American Republic | $888 | 364% |
| Amerihealth | $888 | 364% |
| Aultcare | $888 | 364% |
| Automated Benefit Services | $888 | 364% |
| Auxiant | $888 | 364% |
| Benefit Administrative Systems,Llc | $888 | 364% |
| Boon Chapman | $888 | 364% |
| Cam Administrative Services | $888 | 364% |
| Christian Brother Services | $888 | 364% |
| Christian Brothers Holy Cross | $888 | 364% |
| Claimchoice Adminstrators | $888 | 364% |
| Comprehensive Benefits | $888 | 364% |
| Continental Life Insurance | $888 | 364% |
| Coventry | $888 | 364% |
| Custom Benefit Administrators | $888 | 364% |
| Cypress Benefit Administrators | $888 | 364% |
| Employee Benefit Concepts | $888 | 364% |
| Employee Benefit Management | $888 | 364% |
| Forest County Potawatomi | $888 | 364% |
| Freedom Life Insurance Company | $888 | 364% |
| Group Administrators | $888 | 364% |
| Group Marketing Services | $888 | 364% |
| Group Pension Administrators | $888 | 364% |
| Guardian | $888 | 364% |
| Health America | $888 | 364% |
| Health Choices | $888 | 364% |
| Healthcare Management Admin | $888 | 364% |
| Insight | $888 | 364% |
| Intercare | $888 | 364% |
| Jfp Benefit Management | $888 | 364% |
| Jp Farley Corporation | $888 | 364% |
| Key Benefit Administrator | $888 | 364% |
| Liberty Union Life Assurance Co | $888 | 364% |
| Lucent Health | $888 | 364% |
| Luminare Health | $888 | 364% |
| Magnacare | $888 | 364% |
| Medcost | $888 | 364% |
| Mutual Health Services | $888 | 364% |
| Mutual Of Omaha | $888 | 364% |
| Ncas | $888 | 364% |
| Nippon Life Ins | $888 | 364% |
| Nova | $888 | 364% |
| Painters Union Insurance Fund | $888 | 364% |
| Physicians Mutual | $888 | 364% |
| Plumbers Local 98 Insurance Fund | $888 | 364% |
| Prairie States | $888 | 364% |
| Preferred One | $888 | 364% |
| Primary Physician Care | $888 | 364% |
| Professional Benefit Administrators | $888 | 364% |
| Secureone Preferred United Plans | $888 | 364% |
| Siho Insurance Services | $888 | 364% |
| Sisco Benefits | $888 | 364% |
| The Loomis Company | $888 | 364% |
| Trustmark Small Business Benefits | $888 | 364% |
| U Of M Health Plan | $888 | 364% |
| Unicare | $888 | 364% |
| Unified Group Services | $888 | 364% |
| Us Health And Life | $888 | 364% |
| Valenz | $888 | 364% |
| Varipro | $888 | 364% |
| Wps | $888 | 364% |
| Humana | $972 - $1,902 | 399% |
| First Health | $1,002 | 411% |
| Medben | $1,141 - $1,426 | 468% |
| Consociate | $1,162 | 477% |
| Health Ohio Network | $1,162 | 477% |
| Caresource | $1,388 | 569% |
| Healthlink Inc | $1,426 | 585% |
| Medical Benefits Mutual | $1,426 | 585% |
| Ohio Health Choice | $1,426 | 585% |
| Ohio Ppo Connect | $1,426 | 585% |
| Medi Share | $1,520 | 624% |
| Multiplan | $1,520 | 624% |
| Phcs | $1,520 | 624% |
| Philadelphia American Life Insurance | $1,520 | 624% |
| Ameriben | $1,522 | 624% |
| Luminare Health (Detroit) | $1,522 | 624% |
| Ohiohealthy | $1,522 | 624% |
| Osu Not Independent Choice | $1,522 | 624% |
| Twin Valley Psychiatric | $1,522 | 624% |
| Health Smart | $1,617 | 663% |
| Rural Carrier Health Benefit Plan | $1,776 | 729% |
| American Postal Workers Secondary | $1,875 | 769% |
| Cigna | $1,875 | 769% |
| Health Partners | $1,875 | 769% |
| Healthgram | $1,875 | 769% |
| Mvp | $1,875 | 769% |
| Priority Health | $1,875 | 769% |
| Bccp | $1,902 | 780% |
| Medicaid / KanCare | $1,902 | 780% |
| Optima Health | $1,902 | 780% |