CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Uva Health Culpeper Medical Center

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$543

about 2.2× the $244 Medicare rate · typically $275–$793

modeled estimate · not a bill or quote

What this hospital charges insurers

$592

About the fair price

about $49 over the fair price · 2.4× Medicare

Medicare pays $244 Fair price $543 This hospital $592 Cash price $1,119 Hospital's list price $2,237

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $216 Priciest $592

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a MRI, lower back (no contrast) is about $543 (about 2.2× the $244 Medicare rate). Uva Health Culpeper Medical Center charges insurers about $592, or about $1,119 in cash — about the fair price. Located in Culpeper, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$239 - $5,134	98%
Blue Cross Blue Shieldmajor	$239 - $1,737	98%
Aetnamajor	$239 - $3,094	98%
Cignamajor	$239 - $2,454	98%
Humanamajor	$239 - $252	98%
Kaiser Permanentemajor	$2,013	826%
GEHA	$1,968 - $3,649	807%
Sentara	$1,738	713%
+ 8 smaller / regional plans	$215 - $1,700

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,119), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72148.

Insurance Before you use insurance

Call your insurance company to confirm Uva Health Culpeper Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72148.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Uva Health Culpeper Medical Center

Compare: MRI, lower back (no contrast) at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.