CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mid-Columbia Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $284
  • Cash Discount Price: $647
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mid-Columbia Medical Center is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $647. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.17x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$647

Average discount available for prompt cash payment at this facility.

Insurance Median
$284

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: $647 (265%)
Insurance Median: $284 (117%)
Cash: $647 (265% of Medicare)
Ins. Median: $284 (117% 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 $68 - $7,891 28%
Community Hp Mcr Adv - All Plans $68 - $284 28%
Molina Mcr Adv $68 - $284 28%
Tricare $68 - $284 28%
Va Ccn Triwest - All Plans $68 - $284 28%
Healthnet Mcr Adv $69 - $290 28%
Humana $70 - $298 29%
Moda Mcr Adv $70 - $284 29%
Devoted Mcr Adv - All Plans $73 - $2,673 30%
Employee Health Plan - All Plans $74 - $511 30%
Molina - All Other Plans $74 - $312 30%
Aetna $80 - $2,284 33%
Healthnet - All Other Plans $101 41%
Cigna $113 - $2,331 46%
Molina Mcaid $115 - $1,287 47%
Multiplan/Phcs - All Plans $115 - $2,351 47%
Coventry - All Plans $131 - $2,228 54%
First Choice - All Plans $133 - $2,351 55%
Providence Ppo - All Plans $139 - $2,351 57%
Moda Health Plan - All Other Plans $146 - $1,634 60%
Amerigroup Mcaid - All Plans $222 - $1,287 91%
Coordinated Care Mcaid - All Plans $222 - $1,287 91%
Norocor - All Plans $1,238 508%
UnitedHealthcare $1,287 - $2,351 528%
Healthscape - All Plans $1,980 812%
First Health - All Plans $2,203 904%
Pacific Source - All Plans $2,277 934%
Trpn - Three Rivers - All Plans $2,351 964%
Ahp - Americas Hlth Plan - All Plans $2,401 985%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals