CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: The Monroe Clinic

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$442
about 1.8× the $244 Medicare rate · typically $233–$1,168
modeled estimate · not a bill or quote
What this hospital charges insurers
$406
About the fair price
about $36 under the fair price · 1.7× Medicare
Medicare pays $244 Fair price $442 This hospital $406 Cash price $2,705 Hospital's list price $4,918

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $74 Priciest $406

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, lower back (no contrast) is about $442 (about 1.8× the $244 Medicare rate). The Monroe Clinic charges insurers about $406, or about $2,705 in cash — about the fair price. Located in Monroe, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $391 - $422 160%
Aetnamajor $232 95%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 515 22Nd Ave, Monroe, WI 53566
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals