CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Grove City Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $200
Cash Discount Price: $2,122
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Grove City Medical Center is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,122. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.82x the Medicare baseline. Located in 631 North Broad Street Ext., Grove City, PA.

Cash / Self-Pay

$2,122

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $2,122 (870%)

Insurance Median: $200 (82%)

Cash: $2,122 (870% of Medicare)

Ins. Median: $200 (82% 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
Univera	$58 - $232	24%
Amerihealth	$72 - $423	30%
Highmark	$82 - $480	34%
Pennsylvania Health And Wellness	$91 - $384	37%
Geisinger	$100 - $410	41%
UnitedHealthcare	$100 - $705	41%
Cigna	$112 - $542	46%
Aetna	$187 - $495	77%
University Of Pittsburgh Medical Center	$215 - $1,492	88%
American Health Plans	$233	96%
Life Pittsburgh	$233	96%
Medicare (plans)	$240	98%
Highmark Wholecare	$246 - $353	101%
Humana	$246	101%
Molina	$253	104%
Medical Mutual	$662	272%

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 $2,122.
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 Grove City 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.