CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Klickitat Valley Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $1,065
Cash Discount Price: $969
vs. Medicare Baseline: 4.37x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Klickitat Valley Hospital is $1,065. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $969. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.37x the Medicare baseline. Located in 310 South Roosevelt, Goldendale, WA.

Cash / Self-Pay

$969

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,065

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: $969 (398%)

Insurance Median: $1,065 (437%)

Cash: $969 (398% of Medicare)

Ins. Median: $1,065 (437% 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 437% of the Medicare baseline (a markup of 337%). 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
Molina	$296 - $3,034	121%
Community Health Plan Of Wa	$301 - $1,517	123%
Pacificsource Health Plans	$301 - $2,528	123%
Coordinated Care	$302 - $1,526	124%
UnitedHealthcare	$311 - $2,448	128%
Wellpoint	$320 - $1,616	131%
Cigna	$468 - $2,360	192%
Health Net Health Plan Of Oregon	$635 - $3,202	260%
Moda Health Plan	$635 - $3,202	260%
Providence Health Plan	$635 - $3,202	260%

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 $969.
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 Klickitat Valley 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.