CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Sheridan Memorial Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $402
  • Cash Discount Price: $338
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Sheridan Memorial Hospital is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $338. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.65x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.
Cash / Self-Pay
$338

Average discount available for prompt cash payment at this facility.

Insurance Median
$402

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: $338 (139%)
Insurance Median: $402 (165%)
Cash: $338 (139% of Medicare)
Ins. Median: $402 (165% 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.

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
Humana $68 - $261 28%
Blue Cross Blue Shield $80 - $1,438 33%
Pacificsource-All Plans $107 - $1,525 44%
Wise Provider Network-All Plans $107 - $1,612 44%
Medi-Share Profee Only - All Plans $110 - $381 45%
Miscellaneous-All Plans $110 - $1,560 45%
Cigna $113 - $1,612 46%
First Choice Comm - All Plans $116 - $1,646 48%
Phcs Multiplan-All Plans $116 - $1,646 48%
Three Rivers-All Plans $116 - $1,646 48%
Wy School Boards-All Plans $1,447 594%
UnitedHealthcare $1,485 609%
C1 Employee - All Plans $1,560 640%
Casper Opco Llc - All Plans $1,560 640%
First Health Comm - All Plans $1,560 640%
Ebms - All Plans $1,646 675%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W 5Th St, Sheridan, WY 82801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals