CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Hospital San Francisco

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $272
  • Cash Discount Price: $325
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Hospital San Francisco is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $325. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.12x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$325

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

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: $325 (133%)
Insurance Median: $272 (112%)
Cash: $325 (133% of Medicare)
Ins. Median: $272 (112% 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
First Medical $60 - $325 25%
Triple S $60 - $650 25%
Mso $70 - $111 29%
Aarp $92 38%
Humana $111 - $272 46%
Mcs $111 - $364 46%
Medicare (plans) $111 46%
Tricare $111 46%
Fondo Del Seguro Estado $115 47%
Pr Other Insurances $117 48%
Ch $146 60%
Mpc - Us $146 60%
UnitedHealthcare $146 60%
Us $146 60%
Plan De Salud Menonita $161 - $288 66%
Mc $325 133%
Privado $325 133%
Western Medical Hospice $325 133%
Mapfre $450 185%
Acaa $470 193%
Comerciales $486 199%
Bl $650 267%
Cigna $650 267%
Corvel Network $650 267%
Medicaid / KanCare $650 267%
Mpc-Pr Other Insurances $650 267%
Prossam $650 267%
Va $650 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals