CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Seattle Children's Hospital
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $1,780
- Cash Discount Price: $3,024
- vs. Medicare Baseline: 7.30x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Seattle Children's Hospital is $1,780. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,024. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.30x the Medicare baseline. Located in 4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA.
Cash / Self-Pay
$3,024
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,780
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: $3,024 (1241%)
Insurance Median: $1,780 (730%)
Cash: $3,024 (1241% of Medicare)
Ins. Median: $1,780 (730% 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 730% of the Medicare baseline (a markup of 630%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Child Hearing League [17301] | $40 - $1,338 | 16% |
| Hospice [17306] | $40 - $1,338 | 16% |
| Maple Lane School [17309] | $40 - $1,338 | 16% |
| Medicaid / KanCare | $40 - $1,338 | 16% |
| Chpw [15802] | $41 - $1,378 | 17% |
| Coordinated Care [15815] | $42 - $1,405 | 17% |
| Icw Wellpoint [15822] | $42 - $1,405 | 17% |
| Kaiser [15818] | $42 - $1,365 | 17% |
| Molina [15809] | $42 - $1,365 | 17% |
| Opticare [15895] | $42 - $1,405 | 17% |
| Wellpoint [15814] | $42 - $1,405 | 17% |
| Ubh Community & State [15819] | $44 - $1,726 | 18% |
| UnitedHealthcare | $44 - $4,512 | 18% |
| Eye Quest [15894] | $46 - $1,405 | 19% |
| Usfhp [12208] | $84 - $2,177 | 34% |
| Chpw Cascade [12228] | $117 - $2,920 | 48% |
| Coordinated Care [12267] | $119 - $3,982 | 49% |
| Molina Marketplace [12831] | $124 - $3,982 | 51% |
| Regence Ump [12263] | $143 - $3,451 | 59% |
| Allegiance [12264] | $146 - $4,512 | 60% |
| Cigna | $146 - $4,512 | 60% |
| Personify [12270] | $146 - $4,512 | 60% |
| Providence Health Plan [12289] | $146 - $4,512 | 60% |
| Tufts Health Plan [12279] | $146 - $4,512 | 60% |
| Asuris [11900] | $151 - $4,406 | 62% |
| Asuris [11913] | $151 - $2,867 | 62% |
| Bridgespan Health Company [11906] | $151 - $2,867 | 62% |
| Pb Regence [11908] | $151 | 62% |
| Regence [11903] | $151 - $4,406 | 62% |
| Regence [11909] | $151 - $2,867 | 62% |
| Pb Premera [11601] | $157 | 64% |
| Premera [11600] | $157 - $4,406 | 64% |
| Aetna | $158 - $4,459 | 65% |
| Ameriben [11006] | $158 - $4,459 | 65% |
| Christian Brothers [11001] | $158 - $4,459 | 65% |
| Coresource [11004] | $158 - $4,459 | 65% |
| Ebms [11003] | $158 - $4,459 | 65% |
| Meritain [12251] | $158 - $5,043 | 65% |
| Moda [11009] | $158 - $4,459 | 65% |
| Preferred One [11008] | $158 - $4,459 | 65% |
| Web Tpa [11007] | $158 - $4,459 | 65% |
| Administrators [13102] | $163 - $4,512 | 67% |
| Allied [13129] | $163 - $4,512 | 67% |
| Assurant Health Fc [13135] | $163 - $4,512 | 67% |
| Coastal Administrative [13140] | $163 - $4,512 | 67% |
| Ebms Fc [13144] | $163 - $4,512 | 67% |
| First Choice [13399] | $163 - $4,512 | 67% |
| Health Alliance [13233] | $163 - $4,512 | 67% |
| Ilwu-Pma [13158] | $163 - $4,512 | 67% |
| Loomis Benefits West [13161] | $163 - $4,512 | 67% |
| Meritain Health [13229] | $163 - $4,512 | 67% |
| Moda Fc [13219] | $163 - $4,512 | 67% |
| Myers Stevens & Toohey [13169] | $163 - $4,512 | 67% |
| Pacific Underwriters [13175] | $163 - $4,512 | 67% |
| Personify Fc [13155] | $163 - $4,512 | 67% |
| Providence Health Plan [13181] | $163 - $4,512 | 67% |
| Rehn & Associates [13182] | $163 - $4,512 | 67% |
| Samaritan Health [12265] | $163 - $234 | 67% |
| Starmark [13103] | $163 - $4,512 | 67% |
| Tongass Timber Trust [13202] | $163 - $4,512 | 67% |
| Trusteed Plans [13186] | $163 - $4,512 | 67% |
| Trustmark Life Insurance [13203] | $163 - $4,512 | 67% |
| Welfare Pension [13120] | $163 - $4,512 | 67% |
| Wship [13121] | $163 - $4,512 | 67% |
| Zenith American Solutions [13195] | $163 - $4,512 | 67% |
| Kaiser [13400] | $168 - $3,982 | 69% |
| Kaiser [13401] | $168 - $3,451 | 69% |
| Claritev [12299] | $233 - $5,043 | 96% |
| Ebms [12241] | $233 - $5,043 | 96% |
| Health Alliance [12266] | $233 - $5,043 | 96% |
| Humana | $233 - $5,043 | 96% |
| Key Benefit Admin [12276] | $233 - $5,043 | 96% |
| Medical Mutual [12233] | $233 - $5,043 | 96% |
| Moda [12842] | $233 - $5,043 | 96% |
| Nippon Life Insurance [12232] | $233 - $5,043 | 96% |
| Pehp [12235] | $233 - $5,043 | 96% |
| Preferredone Admin Services [12236] | $233 - $5,043 | 96% |
| Select Health [12277] | $233 - $5,043 | 96% |
| Blue Cross Blue Shield | $934 - $4,406 | 383% |
| Carpenters Trust [13100] | $956 - $4,512 | 392% |
| Coventry Fc [13112] | $956 - $4,512 | 392% |
| Guardian Fc [13105] | $956 - $4,512 | 392% |
| Kps [13109] | $956 - $4,512 | 392% |
| Mega Life [13111] | $956 - $4,512 | 392% |
| Principal Mutual Fc [13115] | $956 - $4,512 | 392% |
| Psew [13124] | $956 - $4,512 | 392% |
| Sound Health And Wellness [13116] | $956 - $4,512 | 392% |
| Zenith [13123] | $956 - $4,512 | 392% |
| United Behavioral Health [12234] | $990 - $4,672 | 406% |
| Coastal Admin Svcs Contracted [12222] | $1,013 - $4,778 | 416% |
| Personify Contracted [12205] | $1,013 - $4,778 | 416% |
| Altius Health Plan [12275] | $1,080 - $5,096 | 443% |
| Coventry Mhbp [12272] | $1,080 - $5,096 | 443% |
| Coventry [12244] | $1,080 - $5,096 | 443% |
| First Health [12210] | $1,080 - $5,096 | 443% |
| Hcc Medical [12274] | $1,080 - $5,096 | 443% |
| Lewermark [12286] | $1,080 - $5,096 | 443% |
| Medishare [12287] | $1,080 - $5,096 | 443% |
| Pacificsource [12245] | $1,080 - $5,096 | 443% |
| Rural Carrier Benefit Plan [12271] | $1,080 - $5,096 | 443% |