CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Bay Area Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $361
  • Cash Discount Price: $1,294
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Bay Area Hospital is $361. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,294. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.48x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.
Cash / Self-Pay
$1,294

Average discount available for prompt cash payment at this facility.

Insurance Median
$361

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: $1,294 (531%)
Insurance Median: $361 (148%)
Cash: $1,294 (531% of Medicare)
Ins. Median: $361 (148% 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
Healthnet Mcr Adv $74 - $307 30%
Moda Hlth Mcr Adv $74 - $312 30%
Southwest Oregon Ipa - All Plans $84 - $236 34%
Ods Ppo/Pos - All Plans $106 - $1,105 43%
Blue Cross Blue Shield $160 - $11,344 66%
Nasomah Hlth Grp - All Plans $169 - $1,901 69%
Moda Beacon - All Other Plans $183 - $770 75%
Moda Connexus/Synergy $203 - $2,820 83%
Healthnet Comm- All Other Plans $268 - $3,010 110%
Healthnet Mcaid $282 - $284 116%
Prov Behav Hlth $361 148%
Providence - All Other Plans $361 - $2,946 148%
Providence Pebb $361 - $1,096 148%
Pacificsource - All Plans $490 - $2,693 201%
First Choice - All Plans $2,883 1183%
Aetna $2,915 1196%
Cigna $2,915 1196%
UnitedHealthcare $3,010 1235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1775 Thompson Road, Coos Bay, OR 97420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals