CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Lewisgale Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $4,212
  • Cash Discount Price: $6,017
  • vs. Medicare Baseline: 17.28x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Lewisgale Medical Center is $4,212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,017. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.28x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$6,017

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,212

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: $6,017 (2468%)
Insurance Median: $4,212 (1728%)
Cash: $6,017 (2468% of Medicare)
Ins. Median: $4,212 (1728% 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 1728% of the Medicare baseline (a markup of 1628%). 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
Blue Cross Blue Shield $313 - $1,001 128%
United $518 - $2,708 212%
Cigna $1,047 430%
Lifeworks $1,143 469%
Universal Healthcare Group $1,324 543%
Virginia Health Network $2,106 - $4,272 864%
Aetna $2,994 - $4,644 1228%
Naphcare $3,008 1234%
Greenvbrier Sporting Club $3,610 1481%
Graham-White Manufacturing $4,212 1728%
Richfield Nursing Center $4,212 1728%
Corvel $4,332 1777%
Community Care Network $4,513 1851%
Richfield Retirement Community $4,513 1851%
Csx Hotels $4,814 1975%
Occunet Workers Comp $4,814 1975%
One Health Plan $4,814 1975%
Patients Choice $5,295 2172%
4Most $5,415 2221%
Alleghany Highland Community $5,415 2221%
American Postal Workers Union $5,415 2221%
C&O Employees Hospital Assn $5,415 2221%
Multiplan $5,415 2221%
Phcs $5,415 2221%
Star Transportation $5,415 2221%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals