CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Capital Medical Center

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$499

about 2.0× the $244 Medicare rate · typically $367–$579

modeled estimate · not a bill or quote

What this hospital charges insurers

$443

Below the fair price — a good deal

about $56 under the fair price · 1.8× Medicare

Medicare pays $244 Fair price $499 This hospital $443 Cash price $2,332 Hospital's list price $5,831

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $78 Priciest $443

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, lower back (no contrast) is about $499 (about 2.0× the $244 Medicare rate). Capital Medical Center charges insurers about $443, or about $2,332 in cash — below the fair price — a good deal. Located in Olympia, WA.

What each insurance company pays

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

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

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

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	$194 - $1,232	80%
Blue Cross Blue Shieldmajor	$265 - $644	109%
Aetnamajor	$271 - $785	111%
Cignamajor	$3,276	1344%
Kaiser Permanentemajor	$1,138	467%
Ambetter (Centene)	$486	199%
Molina	$194 - $486	80%
PacificSource	$2,041 - $2,945	837%
WellCare	$276	113%
+ 3 smaller / regional plans	$190 - $1,482

Excludes 2 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 2,332), 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 Capital 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 Capital Medical Center

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

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