CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Lehigh Valley Hospital - Dickson City

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $310
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Lehigh Valley Hospital - Dickson City is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.27x the Medicare baseline. Located in 330 Main Street, Dickson City, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$310

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%)
Insurance Median: $310 (127%)
Ins. Median: $310 (127% 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
Cigna $198 - $597 81%
Highmark Blue Shield $237 - $988 97%
Amerihealth $240 98%
UnitedHealthcare $242 - $935 99%
Aetna $244 - $1,290 100%
Geisinger $244 - $527 100%
Jefferson Health Partners $244 - $346 100%
Devoted Health $246 101%
Humana $246 101%
Upmc $246 - $1,132 101%
Emblem $251 - $1,037 103%
Pa Health & Wellness (Allwell) $256 105%
Gateway $259 106%
Amerihealth Caritas $282 116%
Highmark Wholecare/Gateway $325 133%
Pa Health & Wellness $346 142%
Ambetter / Centene $705 289%
Valley Preferred $1,356 556%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 330 Main Street, Dickson City, PA 18519
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals