CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Ascension St John Sapulpa

Billing Code: 72148 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$636
about 2.6× the $244 Medicare rate · typically $222–$1,786
modeled estimate · not a bill or quote
What this hospital charges insurers
$623
About the fair price
about $13 under the fair price · 2.6× Medicare
Medicare pays $244 Fair price $636 This hospital $623 Cash price $925 Hospital's list price $2,500

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $101 Priciest $623

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a MRI, lower back (no contrast) is about $636 (about 2.6× the $244 Medicare rate). Ascension St John Sapulpa charges insurers about $623, or about $925 in cash — about the fair price. Located in Sapulpa, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $623 - $667 256%
Aetnamajor $151 - $1,591 62%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1004 East Bryan, Sapulpa, OK 74066
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals