CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Saint Agnes Medical Center
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $60
- Cash Discount Price: $177
- vs. Medicare Baseline: 0.25x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Saint Agnes Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.25x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$177
Average discount available for prompt cash payment at this facility.
Insurance Median
$60
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: $177 (73%)
Insurance Median: $60 (25%)
Cash: $177 (73% of Medicare)
Ins. Median: $60 (25% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $44 - $177 | 18% |
| Aetna | $60 - $1,732 | 25% |
| Albany County Correctional Facility | $60 | 25% |
| Ambetter / Centene | $60 | 25% |
| Amish Mennonite | $60 | 25% |
| Andrie Inc | $60 | 25% |
| Ascension St. Vincent Public Safety Medical | $60 | 25% |
| Bcccp-Michigan | $60 | 25% |
| Bccp | $60 | 25% |
| Blue Cross Blue Shield | $60 - $2,706 | 25% |
| Bmc Healthnet | $60 | 25% |
| Breast Grant-Connecticut | $60 | 25% |
| Broward County Dept Of Health | $60 | 25% |
| California Health And Wellness | $60 | 25% |
| Can Community Health Inc | $60 | 25% |
| Cardinal Innovations Lme | $60 | 25% |
| Care Connections Of Northern Iowa | $60 | 25% |
| Care Oregon Ohp | $60 | 25% |
| Cencal Health Plan | $60 | 25% |
| Cenpatico | $60 | 25% |
| Chhuny | $60 | 25% |
| Childrens Comm Health Plan | $60 | 25% |
| Childrens Medical Services Title 19 | $60 | 25% |
| Cigna | $60 - $2,850 | 25% |
| City Of Philadelphia | $60 | 25% |
| Cmh Allegan County | $60 | 25% |
| Cmh Ausable Valley | $60 | 25% |
| Cmh Barry County | $60 | 25% |
| Cmh Bay-Arenac County | $60 | 25% |
| Cmh Berrien County | $60 | 25% |
| Cmh Cass County | $60 | 25% |
| Cmh Central Mi County | $60 | 25% |
| Cmh Clinton-Eaton-Ingham County | $60 | 25% |
| Cmh Detroit Wayne Integrated Health Network | $60 | 25% |
| Cmh Genesee County | $60 | 25% |
| Cmh Ionia County | $60 | 25% |
| Cmh Jackson County/Lifeways | $60 | 25% |
| Cmh Kalamazoo | $60 | 25% |
| Cmh Kent County | $60 | 25% |
| Cmh Lenawee County | $60 | 25% |
| Cmh Livingston County | $60 | 25% |
| Cmh Macomb | $60 | 25% |
| Cmh Misc | $60 | 25% |
| Cmh Monroe County | $60 | 25% |
| Cmh Montcalm County | $60 | 25% |
| Cmh Muskegon County | $60 | 25% |
| Cmh Newaygo County | $60 | 25% |
| Cmh North Country | $60 | 25% |
| Cmh Northern Lakes County | $60 | 25% |
| Cmh Oakland County | $60 | 25% |
| Cmh Ottawa County | $60 | 25% |
| Cmh Van Buren County | $60 | 25% |
| Cmh Washtenaw County | $60 | 25% |
| Cmh Wayne County/Carelink | $60 | 25% |
| Cmh Wayne Cty/Com Liv Svcs | $60 | 25% |
| Cmh West Mi County | $60 | 25% |
| Community Benefit Health | $60 | 25% |
| Community Care Behavorial Health | $60 | 25% |
| Community Care Partners | $60 | 25% |
| Community Health Choice | $60 | 25% |
| Connections Csp | $60 | 25% |
| County Coroner | $60 | 25% |
| County Funding Generic | $60 | 25% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $60 | 25% |
| Dean Wi Badgercare | $60 | 25% |
| Delaware County Department Of Health | $60 | 25% |
| Delaware First Health | $60 | 25% |
| Delta Dental Nj | $60 | 25% |
| Dph Tb Program | $60 | 25% |
| Dscc | $60 | 25% |
| East Greenbush Central School District | $60 | 25% |
| Eastpointe Lme | $60 | 25% |
| Family Health Network | $60 | 25% |
| Freedom First Healthcare | $60 | 25% |
| Fresno County Ccs | $60 | 25% |
| Genex Wc | $60 | 25% |
| Ghc Scw Wi Badgercare | $60 | 25% |
| Harbor Health | $60 | 25% |
| Health Safety Net | $60 | 25% |
| Healthsmart Workers Comp | $60 | 25% |
| Healthy Blue Ne | $60 | 25% |
| Hennepin Health | $60 | 25% |
| Humana | $60 - $316 | 25% |
| Id County Ada | $60 | 25% |
| Id County Canyon | $60 | 25% |
| Id County Cat Fund | $60 | 25% |
| Id County Other | $60 | 25% |
| Id County Payette | $60 | 25% |
| Idaho Dept Health And Wellfare | $60 | 25% |
| Idaho Womens Health Check | $60 | 25% |
| Indiana Breast Cervical Cancer | $60 | 25% |
| Inland Empire Health Plan | $60 | 25% |
| Intercommunity Health Ohp | $60 | 25% |
| Iowa Total Care | $60 | 25% |
| Jag Source | $60 | 25% |
| Jai Medical System | $60 | 25% |
| Kern Family Health Plan | $60 | 25% |
| Keystone First | $60 | 25% |
| Keystone First Chip | $60 | 25% |
| La Care Health Plan | $60 | 25% |
| Lakeland Care Inc | $60 | 25% |
| Managed Health Services - Indiana | $60 | 25% |
| Maryland Breast & Cervical Program | $60 | 25% |
| Maryland Healthy Smiles - Scion Dental | $60 | 25% |
| Maryland Physicians Care | $60 | 25% |
| Massachusetts Behavioral Health Partnership | $60 | 25% |
| Mdwise | $60 | 25% |
| Medi-Cal | $60 | 25% |
| Medi-Cal Healthnet | $60 - $231 | 25% |
| Medstar Dc Healthy Family | $60 | 25% |
| Medstar Md Health Choice | $60 | 25% |
| Mo Home State Health Plan | $60 | 25% |
| Molina Centennial Care | $60 | 25% |
| Nascentia Health Options | $60 | 25% |
| Nebraska Total Care | $60 | 25% |
| New York Cancer Services Program | $60 | 25% |
| New York State Insurance Fund | $60 | 25% |
| Nextlevel Health | $60 | 25% |
| Njm Insurance Group | $60 | 25% |
| Oregon Screenwise | $60 | 25% |
| Pace Of Southwest Michigan | $60 - $68 | 25% |
| Paramount Advantage | $60 | 25% |
| Parkland Community Health Plan | $60 | 25% |
| Partners Behavioral Lme | $60 | 25% |
| Peach State Healthplan | $60 | 25% |
| Philadelphia County Funding | $60 | 25% |
| Presbyterian Centennial Care | $60 | 25% |
| Prestige Health Choice | $60 | 25% |
| Priority Partners | $60 | 25% |
| Robert F Sing Program | $60 | 25% |
| Rx 340B Pass Along | $60 | 25% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $60 | 25% |
| Rx Heatlhcomp | $60 | 25% |
| Rx Medi-Cal | $60 | 25% |
| Rx Meridian Rx | $60 | 25% |
| Rx Restat | $60 | 25% |
| Rx Saif Opdp Wc | $60 | 25% |
| Rx Worker'S Comp | $60 | 25% |
| Ryan White Florida Mssrp | $60 | 25% |
| Sandhills Center Lme | $60 | 25% |
| Screening For Life | $60 | 25% |
| St Joseph County Hlth Dpt | $60 | 25% |
| Stephenson Cty Health | $60 | 25% |
| Sunshine State Health Plan | $60 | 25% |
| Superior Health | $60 | 25% |
| Tenncare | $60 | 25% |
| Texas Children'S Health Plan | $60 | 25% |
| Trillium Community Ohp | $60 | 25% |
| Tufts Health Public Plans | $60 | 25% |
| UnitedHealthcare | $60 - $1,241 | 25% |
| Vaya Health Lme | $60 | 25% |
| Washtenaw Health Plan | $60 | 25% |
| Wc Accident Fund | $60 | 25% |
| Wc Ace | $60 | 25% |
| Wc Acs Federal Employees | $60 | 25% |
| Wc Acuity | $60 | 25% |
| Wc Advantage | $60 | 25% |
| Wc Aegis | $60 | 25% |
| Wc Aig | $60 | 25% |
| Wc Aims | $60 | 25% |
| Wc Alaska National Ins | $60 | 25% |
| Wc Align Network | $60 | 25% |
| Wc Allied | $60 | 25% |
| Wc Am Trust N America | $60 | 25% |
| Wc American Claims Mgmt | $60 | 25% |
| Wc Amerisure | $60 | 25% |
| Wc Amtrust | $60 | 25% |
| Wc Asu Risk Mgt | $60 | 25% |
| Wc Benetech | $60 | 25% |
| Wc Berkley Admin | $60 | 25% |
| Wc Broadspire | $60 | 25% |
| Wc Broward County | $60 | 25% |
| Wc Bunch & Associates | $60 | 25% |
| Wc California State Comp Ins | $60 | 25% |
| Wc California State Ins Fund | $60 | 25% |
| Wc Capitol Area Health Consortium | $60 | 25% |
| Wc Ccmsi | $60 | 25% |
| Wc Chartis | $60 | 25% |
| Wc Chubb | $60 | 25% |
| Wc Cirma | $60 | 25% |
| Wc City Of Albany | $60 | 25% |
| Wc City Of Sioux City | $60 | 25% |
| Wc Claims Mgmt Inc | $60 | 25% |
| Wc Cna | $60 | 25% |
| Wc Comp One Admin C/O Manageability | $60 | 25% |
| Wc Compone Admin | $60 | 25% |
| Wc Ct Healthcare Trust | $60 | 25% |
| Wc Donegal Insurance Group | $60 | 25% |
| Wc Emc Insurance Company | $60 | 25% |
| Wc Employee Mutual | $60 | 25% |
| Wc Enablecomp | $60 | 25% |
| Wc Encore Health Network | $60 | 25% |
| Wc Erie | $60 | 25% |
| Wc Esis | $60 | 25% |
| Wc Evolutions | $60 | 25% |
| Wc Fcci | $60 | 25% |
| Wc Fed Ex | $60 | 25% |
| Wc Federal Black Lung | $60 | 25% |
| Wc Federated | $60 | 25% |
| Wc Finley Occupational Health | $60 | 25% |
| Wc First Agency/Occunet | $60 | 25% |
| Wc Ford Motor | $60 | 25% |
| Wc Fresno Unified Emp | $60 | 25% |
| Wc Gallagher Bassett | $60 | 25% |
| Wc General Motors | $60 | 25% |
| Wc Generic | $60 | 25% |
| Wc Genex Care For Ohio | $60 | 25% |
| Wc Great West Casualty | $60 | 25% |
| Wc Guarantee Insurance | $60 | 25% |
| Wc Guard Insurance Company | $60 | 25% |
| Wc Hab | $60 | 25% |
| Wc Hartford | $60 | 25% |
| Wc Hastings | $60 | 25% |
| Wc Health Management | $60 | 25% |
| Wc Heritage Summit | $60 | 25% |
| Wc Hireright | $60 | 25% |
| Wc Horizon | $60 | 25% |
| Wc Icw Group | $60 | 25% |
| Wc Idaho State Ins Fund | $60 | 25% |
| Wc Intercare Insurance | $60 | 25% |
| Wc Intermountain | $60 | 25% |
| Wc Johns Eastern | $60 | 25% |
| Wc Kemberton | $60 | 25% |
| Wc Key Ins & Benefit Solutions | $60 | 25% |
| Wc Liberty Mutual | $60 | 25% |
| Wc Mac Risk Management | $60 | 25% |
| Wc Massachusetts | $60 | 25% |
| Wc Mdia | $60 | 25% |
| Wc Meadowbrook Claim | $60 | 25% |
| Wc Medical Administrators | $60 | 25% |
| Wc Meijers | $60 | 25% |
| Wc Memic | $60 | 25% |
| Wc Mercy Workcare | $60 | 25% |
| Wc Michigan | $60 | 25% |
| Wc Michigan Millers Mutual | $60 | 25% |
| Wc Mitchell Frankenmuth | $60 | 25% |
| Wc Mra | $60 | 25% |
| Wc Nationwide | $60 | 25% |
| Wc Nca Comp | $60 | 25% |
| Wc New York | $60 | 25% |
| Wc New York Special Funds | $60 | 25% |
| Wc North American Rishces | $60 | 25% |
| Wc Northeast Health | $60 | 25% |
| Wc Notre Dame | $60 | 25% |
| Wc Novanet | $60 | 25% |
| Wc O'Hara Corp | $60 | 25% |
| Wc Occ Health Allen | $60 | 25% |
| Wc Ohio Bureau | $60 | 25% |
| Wc One Call Medical | $60 | 25% |
| Wc Paradigm | $60 | 25% |
| Wc Peerless | $60 | 25% |
| Wc Pma | $60 | 25% |
| Wc Praxis Health Network | $60 | 25% |
| Wc Price Chopper | $60 | 25% |
| Wc Procura Management | $60 | 25% |
| Wc Qualcare | $60 | 25% |
| Wc Quiktrip | $60 | 25% |
| Wc Reny Company | $60 | 25% |
| Wc Rev Claims | $60 | 25% |
| Wc Risico | $60 | 25% |
| Wc Rural Mutual | $60 | 25% |
| Wc Saif Oregon | $60 | 25% |
| Wc Secura | $60 | 25% |
| Wc Sedgwick | $60 | 25% |
| Wc Sentry | $60 | 25% |
| Wc Sheakley Unicomp | $60 | 25% |
| Wc Smile Lodge | $60 | 25% |
| Wc Society | $60 | 25% |
| Wc Srs | $60 | 25% |
| Wc Taconic (Mro) | $60 | 25% |
| Wc Taconic Farms | $60 | 25% |
| Wc Travelers | $60 | 25% |
| Wc Triad Group | $60 | 25% |
| Wc Tristar | $60 | 25% |
| Wc Troy Ny | $60 | 25% |
| Wc Tyson | $60 | 25% |
| Wc Unified Health Services | $60 | 25% |
| Wc United Heartland | $60 | 25% |
| Wc Us Dept Of Labor | $60 | 25% |
| Wc Velocity | $60 | 25% |
| Wc Walmart | $60 | 25% |
| Wc West Bend | $60 | 25% |
| Wc West Bend Mutual/Argent | $60 | 25% |
| Wc Winnebago Industries | $60 | 25% |
| Wc Yankee Trails | $60 | 25% |
| Wc York Risk | $60 | 25% |
| Wc Zenith | $60 | 25% |
| Wc Zurich | $60 | 25% |
| Wellsense Health Plan | $60 | 25% |
| Wi Womens Wellness | $60 | 25% |
| Ally Align Care Adv | $68 | 28% |
| American Health Advantage Of Idaho | $68 | 28% |
| American Health Plan | $68 | 28% |
| Aurora Special Needs | $68 | 28% |
| Blue Care Network Advantage | $68 | 28% |
| Blue Shield - De (Highmark) Medciare Advantage | $68 | 28% |
| Care Dimensions | $68 | 28% |
| Care Improvement Plus | $68 | 28% |
| Care Resources Pace | $68 | 28% |
| Careplus Health Plans | $68 | 28% |
| Cca - Zing Health | $68 | 28% |
| Cca Senior Care Options | $68 | 28% |
| Central Valley Medical Services Corp Pace | $68 | 28% |
| Champion Health Plan Mcr Advantage | $68 | 28% |
| Clear Spring Health | $68 | 28% |
| Clover Health | $68 | 28% |
| Commonwealth Care Alliance | $68 | 28% |
| Community Pace At Home | $68 | 28% |
| Eddy Senior Care-Pace | $68 | 28% |
| Eddy Seniorcare Pace | $68 | 28% |
| Elementcare | $68 | 28% |
| Evercare | $68 | 28% |
| Everence | $68 | 28% |
| Gateway Health Plan | $68 | 28% |
| Genesys Pace Of Genesee County | $68 | 28% |
| Georgia Health Advantage | $68 | 28% |
| Gold Advantage | $68 | 28% |
| Gpa Croell Redi Mix | $68 | 28% |
| Health America Advantra | $68 | 28% |
| Highmark Health Options Dual Plan | $68 | 28% |
| Hope Select Pace | $68 | 28% |
| Horizon Nj Total Care | $68 | 28% |
| Hudson Headwaters Pace | $68 | 28% |
| Huron Valley Pace | $68 | 28% |
| Innovative Integrated Health Community Plans | $68 | 28% |
| Iowa Health Advantage | $68 | 28% |
| Johns Hopkins Advantage Md | $68 | 28% |
| Lasso Healthcare Msa | $68 | 28% |
| Life St Marys Pace | $68 | 28% |
| Lifecircles Pace | $68 | 28% |
| Longevity Health Plan | $68 | 28% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $68 | 28% |
| Martins Point Generations Advantage | $68 | 28% |
| Mass General Brigham Mcr Adv | $68 | 28% |
| Medicare (plans) | $68 - $316 | 28% |
| Medipak Advantage | $68 | 28% |
| Mercy Life | $68 | 28% |
| Mercyone Cedar Valley | $68 | 28% |
| Meridian Complete | $68 | 28% |
| Michigan Complete Health | $68 | 28% |
| Nascentia Health Plus | $68 | 28% |
| New Centry Health Careplus | $68 | 28% |
| Osu Prime Care Advantage | $68 | 28% |
| Pace Cny | $68 | 28% |
| Pace Iowa Immanuel Pathways | $68 | 28% |
| Pace Southeast | $68 | 28% |
| Pace-Trinity Health | $68 | 28% |
| Peak Pace Solutions | $68 | 28% |
| Perennial Advantage | $68 | 28% |
| Preferred Care Partners | $68 | 28% |
| Presbyterian Senior Plan | $68 | 28% |
| Provider Partners Health Plan Of Illinois | $68 | 28% |
| Provider Partners Health Plan Of Indiana | $68 | 28% |
| Pruitthealth Premier | $68 | 28% |
| Reliance Community Care Partners Care Resources Pace | $68 | 28% |
| Rx Allwin | $68 | 28% |
| Rx Grane Grnmedd | $68 | 28% |
| Rx Retiree Rx Care | $68 | 28% |
| Scan Health Plan Mcr Ipa Meritage Oon | $68 | 28% |
| Secure Horizons Ma Pffs | $68 | 28% |
| Serenity Pace | $68 | 28% |
| Siouxland Pace | $68 | 28% |
| Solis Health Plans | $68 | 28% |
| Sunnyview-Pace Finance Dept | $68 | 28% |
| Texan Plus | $68 | 28% |
| The Health Plan | $68 | 28% |
| Thome Pace | $68 | 28% |
| Todays Options | $68 | 28% |
| Tribute Health Plans | $68 | 28% |
| Um Health Advantage | $68 | 28% |
| Union Health Service | $68 | 28% |
| Wellmed | $68 | 28% |
| Champva | $69 | 28% |
| Tricare | $69 | 28% |
| Triwest Health Alliance | $69 | 28% |
| Us Family Health Plan | $69 | 28% |
| Veterans Eval Services | $69 | 28% |
| Multiplan | $70 - $3,105 | 29% |
| Phcs | $70 - $3,105 | 29% |
| Veterans Administration | $70 | 29% |
| Welbe Health | $72 - $316 | 30% |
| Align Senior Care | $80 - $353 | 33% |
| Advantek Central Usd | $81 - $636 | 33% |
| Healthnet | $82 - $3,009 | 34% |
| Blue Shield - Ca | $84 - $2,706 | 34% |
| Coventry | $84 - $2,544 | 34% |
| First Health | $84 | 34% |
| Cba Network By Design | $91 - $2,773 | 37% |
| Geha | $109 - $1,241 | 45% |
| Bcn Domestic | $111 | 46% |
| Blue Benefit Administrators Of Massachusetts | $111 - $2,706 | 46% |
| Blue Care Network | $111 - $2,706 | 46% |
| Blue Distinction Transplant | $111 - $2,706 | 46% |
| Blue Shield - Id (Regence) | $111 - $2,706 | 46% |
| Blue Shield - Ny Highmark Northeastern | $111 - $2,706 | 46% |
| Blue Shield - Ny Highmark Western | $111 - $2,706 | 46% |
| Blue Shield - Pa (Highmark) | $111 - $2,706 | 46% |
| Blue Shield - Wa (Regence) | $111 - $2,706 | 46% |
| Health Choices | $111 | 46% |
| Kaiser Domestic | $111 | 46% |
| Pre-Employment | $111 | 46% |
| Wc Domestic | $111 | 46% |
| Correctcare Integrated Health | $126 - $186 | 52% |
| Kaiser Permanente | $136 - $537 | 56% |
| Wc Corvel | $138 - $159 | 57% |
| Meritain | $153 - $1,640 | 63% |
| Trustmark Small Business Benefits | $1,640 | 673% |
| Allied Benefit Systems | $1,732 | 711% |
| Boon Chapman | $1,732 | 711% |
| Hap | $1,732 | 711% |
| Webtpa | $1,732 | 711% |
| St Agnes Nicu Valley Childrens Hospital | $2,403 | 986% |
| Network Health | $2,773 | 1138% |
| Allegiance | $2,850 | 1169% |
| American Postal Workers Secondary | $2,850 | 1169% |
| Interplan | $3,327 | 1365% |