CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Cedar City Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,122
  • Cash Discount Price: $2,631
  • vs. Medicare Baseline: 12.81x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Cedar City Hospital is $3,122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,631. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.81x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$2,631

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,122

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: $2,631 (1079%)
Insurance Median: $3,122 (1281%)
Cash: $2,631 (1079% of Medicare)
Ins. Median: $3,122 (1281% 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 1281% of the Medicare baseline (a markup of 1181%). 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
Aetna $69 - $3,376 28%
American Health $69 - $268 28%
Blue Cross Blue Shield $69 - $3,332 28%
Health Choice $69 - $3,122 28%
Health Partners Of Nevada $69 - $258 28%
Health Plan Of Nevada $69 - $3,122 28%
Healthy U $69 - $3,122 28%
Humana $69 - $271 28%
Molina $69 - $3,332 28%
Selecthealth $69 - $3,157 28%
Southwest Behavioral Health $69 - $223 28%
UnitedHealthcare $69 - $3,157 28%
Triwest $234 96%
Awh Connected $1,064 - $3,192 436%
Byu Athletic Department $1,064 - $3,157 436%
Campbell Scientific $1,064 - $3,157 436%
Cigna $1,064 - $3,332 436%
Deseret Mutual $1,064 - $3,157 436%
Emi $1,064 - $3,157 436%
Emi Health $1,064 - $3,157 436%
Franklin County $1,064 - $3,157 436%
Ifit $1,064 - $3,157 436%
Juniper Systems $1,064 - $3,157 436%
Lw Miller $1,064 - $3,157 436%
Managed Care Admin $1,064 - $3,157 436%
Motivhealth $1,064 - $3,157 436%
Pehp $1,064 - $3,332 436%
Prodegi Corp Benefit $1,064 - $3,157 436%
Tanner Llc $1,064 - $3,157 436%
Utah Tech $1,064 - $3,157 436%
Wise Network $1,064 - $3,157 436%
Corporation Of The President $2,631 1079%
Corvel Corporation $2,631 1079%
Injury Care Of Nevada $2,631 1079%
Wcf Insurance $2,631 1079%
Byu Risk Management $2,981 1223%
Global Excel $3,157 1295%
Medcare International $3,157 1295%
Uofu $3,157 - $3,332 1295%
Health Utah $3,332 1367%
Hygeia Corporation $3,332 1367%
Springtide $3,332 1367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals