CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $302
  • Cash Discount Price: $1,166
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Cincinnati Children's Hospital Medical Center is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,166. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.24x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$1,166

Average discount available for prompt cash payment at this facility.

Insurance Median
$302

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: $1,166 (478%)
Insurance Median: $302 (124%)
Cash: $1,166 (478% of Medicare)
Ins. Median: $302 (124% 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
Blue Cross Blue Shield $46 - $4,140 19%
Aetna $48 - $4,001 20%
Mhs_In $48 - $153 20%
Caresource_In $49 - $160 20%
Humana $50 - $1,053 21%
Passport_Ky $50 - $1,095 21%
United_Health_Care_Ky $50 - $1,112 21%
Wellcare_Ky $50 - $1,108 21%
Caresource_Oh $101 - $381 41%
Amerihealth_Caritas_Oh $104 - $412 43%
Molina_Oh $106 - $419 43%
Buckeye_Oh $110 - $438 45%
United_Health_Care_Oh $120 - $402 49%
Caresource_Oh_Insurance $173 - $2,022 71%
Medical_Mutual_Of_Ohio_Insurance $193 - $4,001 79%
Parkview_Signature_Care_Insurance $221 - $3,285 91%
Point_Comfort_Insurance $235 - $2,738 96%
Margaret_Mary_Health_Insurance $239 - $3,285 98%
United_Health_Care_Insurance $275 - $3,774 113%
Beechstreet_Insurance $292 - $4,128 120%
Cigna $292 - $4,001 120%
Health_Ohio_Network_Insurance $329 - $4,001 135%
Custom_Design_Benefits_Insurance $343 - $4,001 141%
Health_Smart_Preferred_Insurance $343 - $4,001 141%
Medical_Benefit_Administrators_Insurance $343 - $4,001 141%
Ohio_Health_Choice_Insurance $343 - $4,001 141%
Private_Health_Care_Systems_Insurance $347 - $4,044 142%
First_Health_Group_Insurance $354 - $4,128 145%
Health_Link_Insurance $354 - $4,128 145%
Evolutions_Health_Care_Systems $361 - $4,212 148%
Galaxy_Health_Insurance $361 - $4,212 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens