CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Cleveland Clinic

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $353
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Cleveland Clinic is $353. 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 1.45x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$353

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: $353 (145%)
Cash: $983 (403% of Medicare)
Ins. Median: $353 (145% 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 - $722 18%
Aetna $66 - $2,046 27%
Blue Cross Blue Shield $66 - $1,285 27%
Devoted Health $66 - $224 27%
Humana $66 - $1,286 27%
The Health Plan $66 - $1,125 27%
United $66 - $518 27%
UnitedHealthcare $66 - $1,309 27%
Upmc $66 - $1,228 27%
Valor $66 - $224 27%
Cigna $68 - $1,637 28%
Communicare $69 - $235 28%
Perennial Health $71 - $242 29%
Pphp $71 - $246 29%
Zing Health $73 - $246 30%
Cc Ehp $126 - $944 52%
Oscar $142 - $582 58%
Paramount $194 - $275 80%
Buckeye $198 - $280 81%
Caresource $198 - $267 81%
Amerihealth $207 85%
Molina $207 - $280 85%
Ohcp $207 - $796 85%
Ohio Healthy $213 - $1,059 87%
Mmo $217 - $1,814 89%
Aultcare $229 - $880 94%
Amish Community Aid Plan $240 - $921 98%
Omas $266 - $1,023 109%
Healthsmart $293 - $1,125 120%
United Bh $293 120%
Phphi $320 - $1,228 131%
Clarity Health $346 - $1,330 142%
Gms $373 - $1,432 153%
Quality Care Partners $373 - $1,432 153%
Consociate Health $400 - $1,534 164%
Multiplan $480 - $1,841 197%
Three Rivers $480 - $1,841 197%
Usa Managed Care $480 - $1,841 197%
Php $908 372%
Medical Benefit Corp $1,059 434%
Parkview Health Plan $1,059 434%
Community Health Alliance $1,210 496%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals