CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Samaritan Lebanon Community Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $159
Cash Discount Price: $1,728
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Samaritan Lebanon Community Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,728. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.65x the Medicare baseline. Located in 525 N Santiam Highway, Lebanon, OR.

Cash / Self-Pay

$1,728

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $1,728 (709%)

Insurance Median: $159 (65%)

Cash: $1,728 (709% of Medicare)

Ins. Median: $159 (65% 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.

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
Pacificsource	$60 - $721	25%
Devoted Health	$66 - $740	27%
Healthnet	$66 - $2,153	27%
Humana	$66 - $139	27%
Samaritan	$67 - $1,887	27%
Cigna	$68 - $2,153	28%
Ihn	$73 - $136	30%
Regence	$76 - $1,996	31%
Moda	$82 - $1,728	34%
Providence	$87 - $2,153	36%
Aetna	$119 - $2,109	49%
First Choice	$159 - $291	65%

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 $1,728.
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 Samaritan Lebanon Community Hospital 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.