CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Washakie Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $833
Cash Discount Price: $635
vs. Medicare Baseline: 3.42x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Washakie Medical Center is $833. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $635. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.42x the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$635

Average discount available for prompt cash payment at this facility.

Insurance Median

$833

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: $635 (260%)

Insurance Median: $833 (342%)

Cash: $635 (260% of Medicare)

Ins. Median: $833 (342% 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 342% of the Medicare baseline (a markup of 242%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Banner Health	$73 - $833	30%
Humana	$73 - $833	30%
Medica	$73 - $1,647	30%
Triwest Healthcare Alliance Corp - Va Ccn	$73 - $833	30%
UnitedHealthcare	$73 - $1,592	30%
Interwest Health	$75 - $1,701	31%
Prime Health Services	$75 - $1,701	31%
Blue Cross Blue Shield	$145 - $1,649	59%
First Choice Health Network	$145 - $1,649	59%
Hue Health, Inc	$145 - $1,649	59%
Imagine Health, Llc (Wka Wise Provider Network)	$145 - $1,649	59%
Mountain Health Cooperative (Co-Op)	$145 - $1,649	59%
Coventry	$147 - $1,667	60%
Cigna	$148 - $1,684	61%
Multiplan	$148 - $1,684	61%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $635.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Washakie Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.