CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mercy Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $2,817
Cash Discount Price: $1,990
vs. Medicare Baseline: 11.56x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mercy Medical Center is $2,817. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,990. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.56x the Medicare baseline. Located in 2700 Nw Stewart Parkway, Roseburg, OR.

Cash / Self-Pay

$1,990

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,817

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: $1,990 (816%)

Insurance Median: $2,817 (1156%)

Cash: $1,990 (816% of Medicare)

Ins. Median: $2,817 (1156% 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 1156% of the Medicare baseline (a markup of 1056%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Umpqua	$206	85%
Moda Health	$260 - $2,947	107%
Blue Cross Blue Shield	$273 - $905	112%
Healthnet	$273 - $3,544	112%
Atrio	$279	114%
Providence	$497 - $3,582	204%
Cigna	$2,798 - $2,910	1148%
Pacificsource	$2,798	1148%
Premera	$2,910 - $3,097	1194%
Aetna	$2,985 - $3,358	1225%
United	$3,171	1301%
First Choice	$3,358	1378%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,990.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.