CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $245
  • Cash Discount Price: $1,477
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Tennova Healthcare - Newport Medical Center is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,477. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$1,477

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

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: $1,477 (606%)
Insurance Median: $245 (101%)
Cash: $1,477 (606% of Medicare)
Ins. Median: $245 (101% 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 $84 34%
UnitedHealthcare $84 - $6,286 34%
Amerigroup $169 - $240 69%
Tricare $206 85%
Node Champva $216 89%
Veterans Eval Services $216 89%
Humana $228 94%
Medicare (plans) $228 94%
Node Bluecare Plus Tn Mcr Adv $232 95%
Node Hospice Non Par Agree $232 95%
Node Va $232 95%
Node Devoted Health Mcr Adv $233 96%
Node Farm Bureau Mcr Adv $233 96%
Aetna $235 - $3,910 96%
Blue Cross Blue Shield $235 - $1,182 96%
Node Healthspring Mcr Adv $235 96%
Node Wellcare Mcr Adv $237 97%
Windsor Health Plan $240 98%
Node Nhc Mcr Adv $251 103%
Us Department Of Labor $290 119%
Cigna $312 128%
Novanet Work Comp Tn $359 147%
Tn Work Comp $363 149%
Bluecare $382 - $395 157%
Ambetter / Centene $429 176%
Point Comfort Underwriters $502 206%
Self Pay $1,477 606%
Multiplan $4,903 2011%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals