CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Lds Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,750
  • Cash Discount Price: $3,095
  • vs. Medicare Baseline: 7.18x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Lds Hospital is $1,750. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,095. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.18x the Medicare baseline. Located in 8Th Avenue and C Street, Salt Lake City, UT.
Cash / Self-Pay
$3,095

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,750

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: $3,095 (1270%)
Insurance Median: $1,750 (718%)
Cash: $3,095 (1270% of Medicare)
Ins. Median: $1,750 (718% 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 718% of the Medicare baseline (a markup of 618%). 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
Donor Connect $54 - $1,069 22%
Aetna $69 - $3,508 28%
American Health $69 - $241 28%
Blue Cross Blue Shield $69 - $3,136 28%
Health Partners Of Nevada $69 - $241 28%
Humana $69 - $253 28%
Molina $69 - $3,384 28%
Selecthealth $69 - $2,088 28%
Southwest Behavioral Health $69 - $223 28%
UnitedHealthcare $69 - $3,508 28%
Triwest $232 95%
Health Plan Of Nevada $241 - $1,238 99%
Healthy U $241 99%
Intermountain Caregiver Plan $654 - $1,989 268%
Awh Connected $1,064 - $2,662 436%
Byu Athletics $1,064 - $2,971 436%
Campbell Scientific $1,064 - $2,971 436%
Deseret Mutual $1,064 - $2,393 436%
Emi $1,064 - $2,228 436%
Emi Health $1,064 - $2,864 436%
Franklin County $1,064 - $2,971 436%
Ifit $1,064 - $2,971 436%
Juniper Systems $1,064 - $2,971 436%
Lw Miller $1,064 - $2,971 436%
Pehp $1,064 - $3,673 436%
Tanner Llc $1,064 - $2,971 436%
Utah Tech $1,064 - $2,971 436%
Cigna $2,600 - $3,508 1067%
Byu Risk Management $2,889 - $3,012 1185%
Corporation Of The President $2,889 - $3,012 1185%
Wcf Insurance $2,889 - $3,012 1185%
Corvel Corporation $2,971 1219%
Managed Care Admin $2,971 - $3,219 1219%
Injury Care Of Nevada $3,095 1270%
Prodegi Corp Benefit $3,384 1388%
Uofu $3,384 1388%
Springtide $3,425 1405%
Altius Mhnet Behavioral Health $3,508 1439%
First Choice $3,508 1439%
Global Excel $3,508 1439%
Medcare International $3,508 1439%
Motivhealth $3,508 1439%
Utah Behavioral Health Network $3,508 1439%
Wise Network $3,508 1439%
Hygeia Corporation $3,714 1524%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8Th Avenue and C Street, Salt Lake City, UT 84143
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals