CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Jefferson Healthcare

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $945
Cash Discount Price: $1,271
vs. Medicare Baseline: 3.88x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Jefferson Healthcare is $945. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,271. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.88x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$1,271

Average discount available for prompt cash payment at this facility.

Insurance Median

$945

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: $1,271 (521%)

Insurance Median: $945 (388%)

Cash: $1,271 (521% of Medicare)

Ins. Median: $945 (388% 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 388% of the Medicare baseline (a markup of 288%). 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
Tricare	$69 - $1,036	28%
Chpw Mcr Adv	$75 - $1,119	31%
Aetna	$79 - $2,664	32%
Medicare (plans)	$80 - $1,057	33%
Molina Mcr Adv	$80 - $1,036	33%
Molina Marketplace-All Other Plans	$87 - $1,295	36%
Chpw Commercial-All Other Plans	$104 - $2,516	43%
Coord Care Comm/Exchge-All Other Plans	$111 - $2,664	46%
Chpw Mcaid	$120 - $925	49%
Molina Mcaid	$120 - $945	49%
Amerigroup Mcaid-All Plans	$123 - $972	50%
Regence-All Other Plans	$163 - $2,220	67%
Premera-All Plans	$184 - $2,516	75%
Cigna	$195 - $2,664	80%
Coord Care Mcaid Ip/Op Only	$991	407%
UnitedHealthcare	$1,658	680%
Coord Care Cascade Ip/Op Only	$2,664	1093%

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 $1,271.
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 Jefferson Healthcare 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.