CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Huron Regional Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,893
  • Cash Discount Price: $1,652
  • vs. Medicare Baseline: 15.97x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Huron Regional Medical Center is $3,893. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,652. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.97x the Medicare baseline. Located in 172 Fourth Street Se, Huron, SD.
Cash / Self-Pay
$1,652

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,893

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: $1,652 (678%)
Insurance Median: $3,893 (1597%)
Cash: $1,652 (678% of Medicare)
Ins. Median: $3,893 (1597% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1597% of the Medicare baseline (a markup of 1497%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medica $153 - $4,820 63%
Sanford $155 - $4,964 64%
UnitedHealthcare $156 - $3,843 64%
Healthpartners $162 - $5,124 66%
Tlc Advantage $164 - $5,177 67%
Midlands $173 71%
Avera $329 - $3,944 135%
Wellmark $945 388%
Multiplan $4,804 1971%
Americas $5,177 2124%
First Choice Of The Midwest $5,177 2124%
First Health Coventry $5,177 2124%
Integrated Health Plan $5,177 2124%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 172 Fourth Street Se, Huron, SD 57350
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals