CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $335
  • Cash Discount Price: $9,057
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Southern Hills Hospital and Medical Center is $335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,057. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.37x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$9,057

Average discount available for prompt cash payment at this facility.

Insurance Median
$335

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: $9,057 (3715%)
Insurance Median: $335 (137%)
Cash: $9,057 (3715% of Medicare)
Ins. Median: $335 (137% 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
Blue Cross Blue Shield $70 - $251 29%
Sierra Hpn $77 - $256 32%
Molina Healthcare $77 - $266 32%
Community Care Health $77 - $256 32%
Ambetter / Centene $82 - $1,992 34%
United $167 - $2,068 69%
Sierra $400 164%
Cigna $540 - $1,214 222%
Aetna $1,303 - $1,308 535%
Legacy Provider Network $2,025 831%
Select Health $2,049 - $2,187 841%
Corvel $2,138 - $2,260 877%
Olympus Medsave USA $2,250 - $7,116 923%
Prominence Healthfirst $2,846 1167%
Cmn Global $3,985 1635%
Evernorth $4,744 1946%
Nv Health & Welfare Trust $5,693 2335%
Multiplan $5,977 - $6,926 2452%
First Health $6,262 - $7,590 2569%
Medcare International $7,116 2919%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals