CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Paradise Valley Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $305
  • Cash Discount Price: $305
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Paradise Valley Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.25x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$305

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $305 (125%)
Insurance Median: $305 (125%)
Cash: $305 (125% of Medicare)
Ins. Median: $305 (125% 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
Aetna $181 - $390 74%
Blue Sheid Of Promise $181 74%
County Of San Diego $181 74%
Golden Physicians Medical Group $181 - $382 74%
Health Excel Ins $181 - $305 74%
Heritage Provider Netwrok $181 - $397 74%
Molina $181 - $305 74%
Traditional Medi-Cal $181 74%
UnitedHealthcare $181 - $541 74%
Health Net Of Ca $194 - $446 80%
Community Health Group $218 - $305 89%
Blue Shield Of Ca, Va $305 125%
Ca Foundation For Medical Care $305 125%
Central Health $305 125%
Choice Physicians Network $305 125%
Clever Care Of Golden State, Inc $305 125%
Managed Health Network $305 125%
Medicare (plans) $305 125%
Renal Payer Solutions $305 125%
Tricare $305 125%
Usa Senior Care Network $305 125%
Verda Health Plan $305 125%
Brand New Day $308 - $458 126%
Imperial Health Plan Of Ca $324 133%
Health Net Federal Service (Cdcr) $382 157%
Veterans Evaluation Services $382 157%
Worker Comp $402 165%
Integrated Medical Solutions $403 165%
Ca Dept Of Correction & Rehab $428 176%
Employer Direct Healthcare $428 176%
Naphcare $473 - $611 194%
Scripps Health $519 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals