CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Newport Community Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $2,009
Cash Discount Price: $2,363
vs. Medicare Baseline: 8.24x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Newport Community Hospital is $2,009. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,363. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.24x the Medicare baseline. Located in 714 West Pine Street, Newport, WA.

Cash / Self-Pay

$2,363

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,009

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: $2,363 (969%)

Insurance Median: $2,009 (824%)

Cash: $2,363 (969% of Medicare)

Ins. Median: $2,009 (824% 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 824% of the Medicare baseline (a markup of 724%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Pacificsource	$1,158	475%
Bcidaho	$1,170 - $2,009	480%
Molina	$1,170 - $1,772	480%
Wellcare	$1,170	480%
UnitedHealthcare	$1,217 - $2,245	499%
Wellpoint	$1,250	513%
Aetna	$1,843	756%
Premera	$2,009	824%
Cigna	$2,127	873%
Multiplan	$2,174	892%
Asuris	$2,245	921%
Regence_Wa	$2,245	921%
Firstchoice	$2,268	930%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,363.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Newport Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.