CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Akron Children's Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $342
  • Cash Discount Price: $2,542
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Akron Children's Hospital is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,542. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.40x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$2,542

Average discount available for prompt cash payment at this facility.

Insurance Median
$342

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: $2,542 (1043%)
Insurance Median: $342 (140%)
Cash: $2,542 (1043% of Medicare)
Ins. Median: $342 (140% 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
Aetna $58 - $5,661 24%
Blue Cross Blue Shield $59 - $6,511 24%
Buckeye Community Health Plan $59 - $355 24%
Caresource $59 - $348 24%
Molina $59 - $355 24%
Humana $60 - $6,122 25%
UnitedHealthcare $60 - $5,003 25%
Amerihealth Caritas Ohio $61 - $365 25%
Mmo $106 - $5,703 43%
Autlcare $177 - $5,201 73%
Summacare $183 - $5,398 75%
Cigna $276 - $5,596 113%
Cenpatico $355 146%
Healthplan (Hometown) $2,238 918%
Northern Ohio Handicapped Fund (Nohf $2,370 972%
Ohio Crippled Childrens Fund (Occf $2,370 972%
Amish Church Fund $3,292 1350%
Medben $5,003 2052%
Summa Health Employee $5,135 2106%
Summacare Preferred Choice Network $5,181 2125%
The Health Plan (Mountaineer Region) $5,299 2174%
Avita-Osu Health Plan $5,398 2214%
The Health Plan (Fna Hometown Health Network) $5,530 2269%
Healthsmart (Fna Emerald Health Network) $5,760 2363%
Embs/Thomas Steel $5,793 2376%
Ohio Health Choice $5,793 2376%
Phcs/Multiplan $5,793 2376%
Enterprise Group Planning $5,925 2431%
Prime Health Services $5,925 2431%
Primenet $5,925 2431%
Quality Care Partners $5,925 2431%
Beechstreet $6,122 2511%
Ohio Preferred Network $6,122 2511%
Paramount $6,122 2511%
Cofinity $6,188 2538%
Health Reach Ohio Health Group $6,188 2538%
Direct Care America $6,254 2566%
First Health Network $6,254 2566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens