CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Indiana Regional Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $249
  • Cash Discount Price: $953
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Indiana Regional Medical Center is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $953. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.02x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$953

Average discount available for prompt cash payment at this facility.

Insurance Median
$249

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: $953 (391%)
Insurance Median: $249 (102%)
Cash: $953 (391% of Medicare)
Ins. Median: $249 (102% 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
Highmark $150 - $685 62%
Highmark Wholecare $169 - $249 69%
Humana $177 - $245 73%
Tricare $178 - $2,646 73%
Aetna $179 - $762 73%
Cigna $180 - $623 74%
Medicare (plans) $180 - $249 74%
United Mine Workers Of America $180 - $249 74%
UnitedHealthcare $180 - $1,058 74%
Ambetter / Centene $186 - $257 76%
Amerihealth Caritas $186 - $257 76%
Geisinger Health Plan $186 - $257 76%
Upmc Health Plan $189 - $2,520 78%
Geisinger $252 - $697 103%
Pa Health And Wellness Commercial $252 - $697 103%
Premier Comp Solutions, Llc $490 201%
Department Of Human Services And Torrance State Hospital $1,667 684%
Miscellaneous Commercial $2,646 1085%
Pa Workers Compensation $2,646 1085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals