CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mercy Hospital Marietta

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $2,402
  • Cash Discount Price: $4,003
  • vs. Medicare Baseline: 9.85x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mercy Hospital Marietta is $2,402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,003. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.85x the Medicare baseline. Located in 300 Wanda Street, Marietta, OK.
Cash / Self-Pay
$4,003

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,402

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: $4,003 (1642%)
Insurance Median: $2,402 (985%)
Cash: $4,003 (1642% of Medicare)
Ins. Median: $2,402 (985% 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 985% of the Medicare baseline (a markup of 885%). 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 $106 - $2,790 43%
Humana $106 - $1,296 43%
Medicaid / KanCare $106 43%
Blue Cross Blue Shield $1,296 - $2,122 532%
Cross Timbers Hospice [20098] $1,296 532%
Elara Caring Aspire Hospice Contracted [320433] $1,296 532%
Elara Caring Aspire Hospice [20433] $1,296 532%
Halo Hcr Inc Hospice Contracted [320432] $1,296 532%
Halo Hcr Inc Hospice [20432] $1,296 532%
Independent Health [20197] $1,296 532%
Indian Health Service Contracted [320198] $1,296 532%
Kindful Hospice Contracted [320434] $1,296 532%
Kindful Hospice [20434] $1,296 532%
Medical Associates Health [20444] $1,296 532%
Medicare (plans) $1,296 - $1,361 532%
Mercy Hospice Okc [20252] $1,296 532%
UnitedHealthcare $1,361 - $2,802 558%
Tricare $1,370 562%
Cigna $1,417 - $3,002 581%
Webtpa Contracted [320417] $1,681 690%
Aither Health Contracted [320449] $2,402 - $3,403 985%
Mercy Benefit Admin Contracted [320251] $2,402 - $3,603 985%
Quik Trip Contracted [320447] $2,402 985%
Show-Me Health Administrators Contracted [320483] $2,402 985%
Osma Health Contracted [320292] $2,802 1149%
United Medical Resources Contracted [320454] $2,802 - $3,603 1149%
First Health Contracted [320128] $2,830 1161%
Benefit Management Contracted [320052] $3,002 - $3,603 1231%
Healthcare Highways Plus Contracted [320175] $3,002 1231%
Auxiant Contracted [320462] $3,403 - $3,603 1396%
Ebms Contracted [320493] $3,403 1396%
Healthlink Contracted [320179] $3,403 - $3,603 1396%
Preferred Community Choice Contracted [320311] $3,403 1396%
Federal Medical Center Contracted [320127] $3,603 1478%
Healthscope Contracted [320182] $3,603 1478%
Point C Contracted [320238] $3,603 1478%
Preferred Health Plan Contracted [320522] $3,603 1478%
Tri State Healthcare Coalition Contracted [320379] $3,603 1478%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Wanda Street, Marietta, OK 73448
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals