CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: OHSU Hospital and Clinics

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $268
  • Cash Discount Price: $1,714
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at OHSU Hospital and Clinics is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,714. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.10x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$1,714

Average discount available for prompt cash payment at this facility.

Insurance Median
$268

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: $1,714 (703%)
Insurance Median: $268 (110%)
Cash: $1,714 (703% of Medicare)
Ins. Median: $268 (110% 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
Care Oregon $107 - $316 44%
Intercommunity Health Network $107 - $214 44%
Kaiser Foundation Hospitals $107 - $623 44%
Medicare (plans) $107 - $429 44%
Pacific Source $107 - $2,052 44%
Humana $134 - $284 55%
Trillium $134 - $268 55%
Moda $141 - $1,626 58%
UnitedHealthcare $142 - $1,092 58%
Aetna $145 - $639 59%
Health Net Health Plan Of Oregon, Inc. $154 - $2,042 63%
Providence Health Plan $161 - $560 66%
Samaritan Health Plan $167 - $670 69%
Community Health Plan Of Washington $188 - $506 77%
Tuality Health $241 - $482 99%
Blue Cross Blue Shield $399 - $798 164%
Cigna $703 - $1,406 288%
Coventry First Health $1,978 811%
First Choice $1,998 820%
Molina Exchange $2,637 1082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals