CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,713
  • Cash Discount Price: $1,977
  • vs. Medicare Baseline: 7.03x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at University Hospitals Conneaut Medical Center is $1,713. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,977. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.03x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$1,977

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,713

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: $1,977 (811%)
Insurance Median: $1,713 (703%)
Cash: $1,977 (811% of Medicare)
Ins. Median: $1,713 (703% 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 703% of the Medicare baseline (a markup of 603%). 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
University Health Employee Plan (Contigo) $728 299%
Amish Aid Community Plan $800 328%
Amish Church Fund And Workers Aid Plan $800 328%
Buckeye Plain Ministries $800 328%
Aetna $817 - $2,258 335%
Blue Cross Blue Shield $817 - $2,636 335%
Cigna $817 - $2,026 335%
Devoted $817 335%
Humana $817 335%
Medical Mutual Of Ohio $817 - $2,486 335%
Molina $817 335%
Primetime Health Plan $817 335%
Summacare $817 - $1,800 335%
The Health Plan $817 - $1,740 335%
UnitedHealthcare $817 - $2,205 335%
Wellcare By Allwell $817 335%
Paramount $842 345%
Perennial Advantage Of Ohio $858 352%
Valor Health Plans $858 352%
Clarity $1,265 519%
Christian Healthcare Ministries $1,318 - $1,351 541%
Immergrun $1,318 541%
Sunrise Plan Communities $1,318 541%
Aultcare $1,377 565%
Ambetter / Centene $1,471 603%
Caresource $1,471 603%
Healthsmart $1,713 703%
Ohio Health Choice $1,713 - $2,372 703%
Medical Mutual Traditional/Health Ohio $1,845 757%
Jp Farley $1,957 803%
Beech Street $2,109 - $2,372 865%
Ohio Preferred Network $2,109 - $2,372 865%
First Health $2,188 898%
Century Health Network $2,241 919%
Private Healthcare System $2,267 930%
Configurenet $2,372 973%
Fortified Provider Network $2,372 973%
Multiplan $2,372 973%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals