CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Pullman Regional Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $2,334
  • Cash Discount Price: $2,540
  • vs. Medicare Baseline: 9.57x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Pullman Regional Hospital is $2,334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,540. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.57x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$2,540

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,334

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: $2,540 (1042%)
Insurance Median: $2,334 (957%)
Cash: $2,540 (1042% of Medicare)
Ins. Median: $2,334 (957% 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 957% of the Medicare baseline (a markup of 857%). 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
Kaiser - All Other Plans $683 280%
Community Care Ntwrk Mcare-All Plans $973 - $1,119 399%
Humana $973 - $1,119 399%
Kaiser Mcare Advan $973 - $1,119 399%
Sterling Mcr Adv-All Plans $973 - $1,119 399%
Triwest - All Plans $973 - $1,119 399%
Blue Cross Blue Shield $983 - $3,037 403%
Community Health Plan Mcaid-All Plans $1,007 - $1,158 413%
Medicaid / KanCare $1,007 - $1,158 413%
Molina Hlthcare Mcaid-All Plans $1,007 - $1,158 413%
Wellcare Mcaid -All Other Plans $1,007 - $1,158 413%
Wellpoint Mcaid - All Plans $1,007 - $1,158 413%
Wellcare Mcr Adv $1,061 - $1,220 435%
Idaho Dshs-All Plans $1,140 - $1,311 468%
Premera First - All Plans $2,029 - $2,334 832%
Single Case Agree - All Plans $2,029 - $2,334 832%
First Choice Admin $2,294 - $2,638 941%
Admin Wsu Student-All Plans $2,363 - $2,717 969%
Multiplan - All Plans $2,363 - $2,717 969%
Asuris Nw Hlth-All Plans $2,502 - $2,877 1026%
Cigna $2,502 - $2,877 1026%
First Choice - All Other Plans $2,502 - $2,877 1026%
Focus Hlthcare - All Plans $2,502 - $2,877 1026%
Northwest One - All Plans $2,502 - $2,877 1026%
UnitedHealthcare $2,502 - $2,877 1026%
Aetna $2,641 - $3,037 1083%
Great West Hlth-All Plans $2,641 - $3,037 1083%
Integrated Hp - All Plans $2,641 - $3,037 1083%
Spokane Phco - All Plans $2,641 - $3,037 1083%
Provider Network Of America-All Plans $2,724 - $3,133 1117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals