CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Hudson Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $916
  • Cash Discount Price: $1,207
  • vs. Medicare Baseline: 3.76x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Hudson Hospital is $916. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,207. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.76x the Medicare baseline. Located in 405 Stageline Road, Hudson, WI.
Cash / Self-Pay
$1,207

Average discount available for prompt cash payment at this facility.

Insurance Median
$916

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: $1,207 (495%)
Insurance Median: $916 (376%)
Cash: $1,207 (495% of Medicare)
Ins. Median: $916 (376% 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 376% of the Medicare baseline (a markup of 276%). 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
Blue Cross Blue Shield $578 - $2,627 237%
Healthpartners [900713] $645 265%
Medicaid / KanCare $645 - $985 265%
Medicare (plans) $878 - $916 360%
UnitedHealthcare $908 - $3,091 372%
Medica [900156] $2,276 934%
First Health Network [950334] $2,408 988%
Ma Wisconsin Replacement [950271] $2,676 1098%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 405 Stageline Road, Hudson, WI 54016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals