CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: McAlester Regional Health Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $788
  • Cash Discount Price: $1,364
  • vs. Medicare Baseline: 3.23x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at McAlester Regional Health Center is $788. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,364. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.23x the Medicare baseline. Located in One Clark Bass Boulevard, McAlester, OK.
Cash / Self-Pay
$1,364

Average discount available for prompt cash payment at this facility.

Insurance Median
$788

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: $1,364 (560%)
Insurance Median: $788 (323%)
Cash: $1,364 (560% of Medicare)
Ins. Median: $788 (323% 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 323% of the Medicare baseline (a markup of 223%). 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
Aetna $246 101%
Blue Cross Blue Shield $246 - $788 101%
Choctaw Nation $246 101%
Global Health $246 - $431 101%
Coventry $2,729 - $3,036 1119%
Okla Health Network $2,899 1189%
Osma Health $3,002 1231%
Preferred Choice Community $3,002 1231%
Phcs $3,070 1259%
Beech Street $3,172 1301%
Cigna $3,172 1301%
Geha $3,206 1315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Clark Bass Boulevard, McAlester, OK 74501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals