CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Physicians Care Surgical Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $427
  • Cash Discount Price: $316
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Physicians Care Surgical Hospital is $427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.75x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
$316

Average discount available for prompt cash payment at this facility.

Insurance Median
$427

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: $316 (130%)
Insurance Median: $427 (175%)
Cash: $316 (130% of Medicare)
Ins. Median: $427 (175% 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
Connecticare $254 104%
Aarp $395 162%
Aetna $395 - $2,072 162%
Blue Cross Blue Shield $395 - $432 162%
Cigna $395 162%
Devon Health Services $395 162%
Gpm Health And Life Insurance Mc Supplement $395 162%
Humana $395 162%
Ibc Security 65 $395 162%
Keystone 65 Hmo $395 162%
Medicare (plans) $395 162%
Pcsh Aarp $395 162%
Personal Choice 65 $395 162%
Shenandoah Life $395 162%
Tricare $395 162%
Unified Health Services $395 162%
UnitedHealthcare $395 - $839 162%
Vibra Health Plan $395 162%
Amerihealth Administrators $427 175%
Amerihealth New Jersey Hmo $427 175%
Carefirst Administrators $427 175%
Empire Plan $427 175%
Horizon Of New Jersey $427 175%
Ibc $427 175%
Ibc - Local $427 175%
Ibc 2021 $427 175%
Ibc Local $427 175%
Independence Administrators $427 175%
Independence Bc $427 175%
Independence Federal $427 175%
Keystone Direct Pos $427 175%
Keystone Healthplan East $427 175%
Keystone Hmo $427 175%
Pcsh Ibc $427 175%
Personal Choice $427 175%
Regence Blue Shield $427 175%
Highmark $432 177%
Allsavers $839 344%
Golden Rule Op $839 344%
Oxford Health Plan $839 344%
Oxford Life Insurance Company $839 344%
Surest $839 344%
Ag Administrators $2,072 850%
Ag Administrators Inc $2,072 850%
Allied Benefit Systems $2,072 850%
Allied Benefits Systems $2,072 850%
Continental Benefits $2,072 850%
Coventry $2,072 850%
Geha $2,072 850%
Healthez $2,072 850%
Lucent Health $2,072 850%
Marpai Health $2,072 850%
Meritain Health $2,072 850%
Premier Care Network $2,072 850%
Trustmark $2,072 850%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals