CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Leconte Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $248
  • Cash Discount Price: $729
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Leconte Medical Center is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $729. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.02x the Medicare baseline. Located in 742 Middlecreek Road, Sevierville, TN.
Cash / Self-Pay
$729

Average discount available for prompt cash payment at this facility.

Insurance Median
$248

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: $729 (299%)
Insurance Median: $248 (102%)
Cash: $729 (299% of Medicare)
Ins. Median: $248 (102% 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
UnitedHealthcare $105 - $478 43%
Blue Cross Blue Shield $167 - $823 69%
Wellpoint $221 - $248 91%
Farm Bureau $229 94%
Tricare $236 97%
Humana $243 100%
Aetna $248 - $329 102%
Cigna $248 - $463 102%
Devoted Health $248 102%
Wellcare $248 102%
Ambetter / Centene $987 405%
Ehn $1,058 434%
Correctional Medical Services $1,410 578%
Community Services Network $1,528 627%
Usa Managed Care Organization $1,645 675%
Novanet $1,762 723%
Direct Care America $1,880 771%
Medsave Usa $1,880 771%
National Provider Network $1,880 771%
Beech Street $1,998 820%
Ccn Managed Care $1,998 820%
Initial Group $2,068 848%
Galaxy Health Network $2,115 868%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 742 Middlecreek Road, Sevierville, TN 37862
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals