CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Cannon Memorial Hospital
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $174
- Cash Discount Price: $188
- vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Cannon Memorial Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.71x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$188
Average discount available for prompt cash payment at this facility.
Insurance Median
$174
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: $188 (77%)
Insurance Median: $174 (71%)
Cash: $188 (77% of Medicare)
Ins. Median: $174 (71% 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 |
|---|---|---|
| Phcs [940] | $21 - $2,112 | 9% |
| Medicaid / KanCare | $52 - $3,200 | 21% |
| Humana | $54 - $2,306 | 22% |
| Select Health Of Sc [637] | $60 - $2,196 | 25% |
| Aetna | $64 - $1,818 | 26% |
| Blue Choice Health Plan [922] | $64 - $1,756 | 26% |
| Blue Cross Blue Shield | $64 - $3,040 | 26% |
| Medicare (plans) | $64 - $3,200 | 26% |
| UnitedHealthcare | $64 - $3,200 | 26% |
| Vaccn - Va Community Care Network [16] | $64 - $174 | 26% |
| Veterans Administration [633] | $64 - $174 | 26% |
| Cigna | $66 - $3,200 | 27% |
| Devoted Health Alt Payer [9401] | $66 - $178 | 27% |
| Devoted Health [94] | $66 - $178 | 27% |
| Molina Dual Options Alt Payer [1501] | $66 - $180 | 27% |
| Molina Dual Options [15] | $66 - $180 | 27% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $67 - $181 | 27% |
| Absolute Total Care Mcr Plans [41] | $67 - $181 | 27% |
| Absolute Total Care [58] | $68 - $2,306 | 28% |
| Champva [604] | $68 - $183 | 28% |
| First Choice Vip Careplus Alt Payer [3301] | $68 - $183 | 28% |
| First Choice Vip [33] | $68 - $183 | 28% |
| Nhc Advantage Alt Payer [6101] | $68 - $183 | 28% |
| Nhc Advantage [61] | $68 - $183 | 28% |
| Tricare | $68 - $183 | 28% |
| Bright Health Alt Payer [1001] | $75 - $215 | 31% |
| Geha [302] | $88 - $1,706 | 36% |
| Golden Rule Ins Co [584] | $88 - $1,706 | 36% |
| Ambetter / Centene | $92 - $249 | 38% |
| Employee Benefit Management Services [869] | $92 - $896 | 38% |
| First Choice Next [96] | $93 - $253 | 38% |
| Molina Marketplace [97] | $93 - $253 | 38% |
| Bright Health [11] | $95 - $271 | 39% |
| Mail Handlers Benefit Plan [327] | $103 - $1,818 | 42% |
| Rural Carrier Benefit Plan [406] | $103 - $1,818 | 42% |
| Workers Compensation [622] | $105 - $284 | 43% |
| Edison Health Solutions [95] | $113 - $305 | 46% |
| Healthscope [98] | $113 - $305 | 46% |
| Preferred Administrators [19] | $115 - $1,920 | 47% |
| Nalc Health Benefit Plan [291] | $117 - $1,904 | 48% |
| Planned Administrators [886] | $135 - $1,631 | 55% |
| Thomas Cooper & Company [315] | $139 - $1,631 | 57% |
| Medcost [206] | $174 - $2,880 | 71% |
| Other Hospital Payers [1991] | $278 - $3,200 | 114% |
| Coventry Health [245] | $2,000 - $2,304 | 820% |
| American Continental Ins [778] | $3,200 | 1313% |
| American Republic Life Ins [722] | $3,200 | 1313% |
| Business Office [6000] | $3,200 | 1313% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $3,200 | 1313% |
| First Health [946] | $3,200 | 1313% |
| Guarantee Trust Life Insurance [236] | $3,200 | 1313% |
| Home Health Infusion Payer [6001] | $3,200 | 1313% |
| Manhattan Life Ins Co [932] | $3,200 | 1313% |
| Miscellaneous Commercial [1] | $3,200 | 1313% |
| New Era Life Ins Co [437] | $3,200 | 1313% |
| Non-Contracted [22] | $3,200 | 1313% |
| Physicians Mutual [773] | $3,200 | 1313% |
| Reference Based Pricing/Limited Plan [21] | $3,200 | 1313% |
| State Farm Ins Co [373] | $3,200 | 1313% |
| Sterling Investors Life [244] | $3,200 | 1313% |
| Supermed/Med Mutual Of Ohio [539] | $3,200 | 1313% |
| United American Ins Co [277] | $3,200 | 1313% |