MRI, lower back (no contrast)
Facility: Ohio Valley Surgical Hospital
Billing Code: 72148 (CPT)
- CPT Billing Code: 72148
- Insurance Median: $2,039
- Cash Discount Price: $1,359
- vs. Medicare Baseline: 8.36x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 836% of the Medicare baseline (a markup of 736%). 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.
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 | $230 - $40,293 | 94% |
| Aarp | $230 - $11,885 | 94% |
| Mmoh | $230 - $11,885 | 94% |
| Medigold | $230 - $11,885 | 94% |
| Molina McR+McD | $230 - $11,885 | 94% |
| Medicare (plans) | $230 - $12,264 | 94% |
| Bankers Life and Casualty | $230 - $11,885 | 94% |
| American Retirement | $230 - $11,885 | 94% |
| Cigna | $230 - $18,817 | 94% |
| Aetna | $230 - $20,896 | 94% |
| Molina Marketplace | $230 - $11,885 | 94% |
| Aarp Supplemental | $230 - $11,885 | 94% |
| Molina | $230 - $11,885 | 94% |
| Central States | $230 - $11,885 | 94% |
| Humana | $230 - $11,919 | 94% |
| Wraparound Pl Supp | $230 - $11,885 | 94% |
| Wellcare By Allwell | $230 - $11,885 | 94% |
| UnitedHealthcare | $230 - $17,571 | 94% |
| Molina McR | $230 - $11,885 | 94% |
| Bankers Fidelity | $230 - $11,885 | 94% |
| American Continental Insurance | $230 - $11,885 | 94% |
| American Continental Life | $230 - $11,885 | 94% |
| Aultcare Primetime Health Plan | $230 - $11,885 | 94% |
| Molina McR McD | $230 - $11,885 | 94% |
| Molina Dual McR | $230 - $11,885 | 94% |
| Prosperity Supplement | $230 - $11,885 | 94% |
| Everest | $230 - $11,885 | 94% |
| Communicare Advantage | $230 - $11,885 | 94% |
| American Republic | $230 - $11,885 | 94% |
| Champus | $230 - $11,885 | 94% |
| Molina Dual McR | $230 - $11,885 | 94% |
| Gateway Health Plan | $230 - $11,885 | 94% |
| Patient No Pay | $230 - $11,885 | 94% |
| Personify Health | $240 - $20,896 | 98% |
| Genworth | $240 - $20,896 | 98% |
| Ngs Coresource | $240 - $20,896 | 98% |
| Nippon Life | $240 - $20,896 | 98% |
| Geha | $240 - $20,896 | 98% |
| Mail Handlers | $240 - $20,896 | 98% |
| Meritain | $240 - $20,896 | 98% |
| Mhbp | $240 - $20,896 | 98% |
| Meritain Heatlh | $240 - $20,896 | 98% |
| Pacific Source | $240 - $20,896 | 98% |
| The Health Plan | $242 - $12,479 | 99% |
| Devoted Health | $263 - $13,707 | 108% |
| Employer Direct | $265 - $15,703 | 109% |
| Caresource | $346 - $17,827 | 142% |
| Caresourse | $346 - $17,827 | 142% |
| Medicaid / KanCare | $346 - $17,827 | 142% |
| Samba | $366 - $18,817 | 150% |
| Unified Group | $366 - $18,817 | 150% |
| Healthgram | $366 - $18,817 | 150% |
| Nalc | $366 - $18,817 | 150% |
| Sbma | $366 - $18,817 | 150% |
| Ushealth | $376 - $17,571 | 154% |
| Shl | $376 - $17,571 | 154% |
| Golden Rule | $376 - $17,571 | 154% |
| Medica | $376 - $17,571 | 154% |
| Surest | $376 - $17,571 | 154% |
| Oxford | $376 - $17,571 | 154% |
| Self Pay Imaging | $495 - $11,885 | 203% |
| Mmoh (Supermed) | $1,042 - $1,053 | 427% |
| Mmo Cin. HMO | $1,042 - $1,427 | 427% |
| Preferred Health | $2,038 | 836% |
| Ohio Health | $2,038 | 836% |
| Medben | $2,038 | 836% |
| Luminare Health | $2,038 | 836% |
| Amerihealth Caritas of Ohio | $3,657 | 1500% |
| Buckeye Community Health Plan | $4,022 | 1650% |
| Molina McD | $4,084 | 1675% |