CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Southwest General Health Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $261
  • Cash Discount Price: $2,153
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Southwest General Health Center is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,153. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.07x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$2,153

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $2,153 (883%)
Insurance Median: $261 (107%)
Cash: $2,153 (883% of Medicare)
Ins. Median: $261 (107% 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
Medical Mutual $96 - $102 39%
Medical Mutual-Ohio $96 - $252 39%
Buckeye $188 - $303 77%
Caresource $188 - $253 77%
Humana $188 - $1,119 77%
Molina $188 - $303 77%
UnitedHealthcare $188 - $1,550 77%
Amerihealth Caritas $196 - $253 80%
Blue Cross Blue Shield $252 - $335 103%
Valor Health $252 103%
Healthsmart $918 377%
Health Design Plus $1,062 436%
Clarity Health $1,148 471%
Healthspan $1,148 471%
Healthsmart Preferred $1,292 530%
Ohio Health Choice Plus $1,389 570%
Summacare $1,550 636%
Aetna $1,553 637%
Cigna $1,570 644%
Coventry $1,980 812%
First Health $1,980 812%
Ohio Health Choice $2,219 910%
Private Healthare Systems $2,296 942%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals