CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Johnson City Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $313
  • Cash Discount Price: $605
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Johnson City Medical Center is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $605. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.28x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.
Cash / Self-Pay
$605

Average discount available for prompt cash payment at this facility.

Insurance Median
$313

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: $605 (248%)
Insurance Median: $313 (128%)
Cash: $605 (248% of Medicare)
Ins. Median: $313 (128% 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
Amerigroup $221 - $223 91%
Aetna $223 - $2,573 91%
Humana $223 91%
Managed Medicaire $223 91%
Medicare (plans) $223 91%
Mountain Empire Pace $223 91%
Sentara Health $223 - $1,407 91%
United Mine Workers Of America $223 91%
UnitedHealthcare $223 - $4,033 91%
Blue Cross Blue Shield $229 - $914 94%
Molina Healthcare $232 - $316 95%
Cigna $234 - $1,025 96%
Devoted Health Plan $234 96%
Nhc Advantage $234 96%
Wellcare $236 - $4,033 97%
Optima Health $304 125%
Ambetter / Centene $485 199%
Medcost $1,412 579%
First Health Coventry $3,025 1241%
Seven Corners, Inc. $4,033 1654%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N State of Franklin Rd, Johnson City, TN 37604
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals