CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Southern Coos Hospital & Health Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $1,728
Cash Discount Price: $1,152
vs. Medicare Baseline: 7.09x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Southern Coos Hospital & Health Center is $1,728. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,152. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.09x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$1,152

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,728

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: $1,152 (473%)

Insurance Median: $1,728 (709%)

Cash: $1,152 (473% of Medicare)

Ins. Median: $1,728 (709% 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 709% of the Medicare baseline (a markup of 609%). 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
Cigna	$124 - $2,069	51%
Moda Health Plan - All Other Plans	$124 - $2,330	51%
Blue Cross Blue Shield	$126 - $2,435	52%
Providence Preferred - All Plans	$139 - $2,488	57%
Tricare	$206 - $1,521	85%
Aetna	$234 - $2,357	96%
Atrio Mcr Adv - Allplans	$234 - $1,728	96%
Confederated Tribes - All Plans	$234 - $1,728	96%
Moda Mcr Adv	$234 - $1,728	96%
Pacific Source Mcr Adv	$234 - $1,728	96%
Advanced Health - All Plans	$1,254 - $1,650	514%
Healthnet - All Plans	$1,653 - $2,173	678%
Prov Netwrk Of America - All Plans	$1,792 - $2,357	735%
Three Rivers - All Plans	$1,792 - $2,357	735%
UnitedHealthcare	$1,792 - $2,357	735%
First Choice - All Plans	$1,832 - $2,409	752%
Multiplan - All Plans	$1,852 - $2,435	760%
First Health - All Plans	$1,892 - $2,488	776%
Pacific Source - All Other Plans	$1,892 - $2,488	776%

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 $1,152.
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 Southern Coos Hospital & Health 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.