CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Tennova Healthcare - Clarksville

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $334
  • Cash Discount Price: $870
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Tennova Healthcare - Clarksville is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $870. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.37x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$870

Average discount available for prompt cash payment at this facility.

Insurance Median
$334

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: $870 (357%)
Insurance Median: $334 (137%)
Cash: $870 (357% of Medicare)
Ins. Median: $334 (137% 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
Medicaid / KanCare $105 - $1,122 43%
UnitedHealthcare $105 - $698 43%
Amerigroup $199 82%
Veterans Eval Services $216 89%
Tricare $232 95%
Humana $240 - $987 98%
Medicare (plans) $240 98%
Node Windsor Mcr Dual $240 98%
Node Bluecare Plus Tn Mcr Adv $244 100%
Node Champva $244 100%
Node Devoted Health Mcr Adv $244 100%
Node Hospice Non Par Agree $244 100%
Node Va $244 100%
Node Wellcare Mcr Adv $244 100%
American Health $245 101%
Node Ascension Complete Mcr Adv $245 101%
Node Farm Bureau Mcr Adv $245 101%
Node Healthspring Mcr Adv $245 101%
Aetna $248 - $576 102%
Cigna $249 - $323 102%
Node Amerigroup Mcr Adv $252 103%
Node Nhc Mcr Adv $264 108%
Blue Cross Blue Shield $305 - $803 125%
Node Us Dept Of Labor $305 125%
Corvel $344 141%
Rockport Work Comp Tn $344 141%
Novanet Work Comp Tn $355 146%
Prime Health Work Comp Tn $355 146%
Tn Work Comp $363 149%
Ambetter / Centene $452 185%
Node Valenz Access $489 201%
Naphcare $550 226%
Oscar $669 274%
Ky Work Comp $851 349%
Self Pay $870 357%
Wellcare $1,122 460%
Center Care $2,916 1196%
Correct Care Solutions $4,038 1656%
First Health $4,038 1656%
Multiplan $4,262 1748%
Phcs $4,262 1748%
Prime Health Services $4,262 1748%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals