CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Adventist Health White Memorial
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $635
- Cash Discount Price: $2,544
- vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Adventist Health White Memorial is $635. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,544. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.78x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$2,544
Average discount available for prompt cash payment at this facility.
Insurance Median
$635
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $2,544 (714%)
Insurance Median: $635 (178%)
Cash: $2,544 (714% of Medicare)
Ins. Median: $635 (178% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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 |
|---|---|---|
| Blue Shield Mcr Adv | $85 | 24% |
| Access Group | $381 | 107% |
| Ahp - All Other Plans | $381 | 107% |
| Lasalle Mg Commercial - All Other Plans | $381 | 107% |
| Access Senior - All Other Plans | $449 | 126% |
| Ahp Senior | $449 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $449 | 126% |
| Altamed Connect | $449 | 126% |
| Avanti Mcr Adv - All Other Plans | $449 | 126% |
| Brand New Day Mcare - All Plans | $449 | 126% |
| Bs Va Mcare | $449 | 126% |
| Care First Mcare - All Other Plans | $449 | 126% |
| Clever Care - All Plans | $449 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $449 | 126% |
| Humana | $449 | 126% |
| Lasalle Mg Senior | $449 | 126% |
| Medicare (plans) | $449 | 126% |
| Molina Mcare | $449 | 126% |
| Pacific Alliance Mcare - All Other Plans | $449 | 126% |
| Preferred Senior | $449 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $449 | 126% |
| Tricare | $449 | 126% |
| UnitedHealthcare | $449 - $7,068 | 126% |
| Blue Cross Blue Shield | $467 - $3,976 | 131% |
| Fcs Ipa Op/Profee Only - All Other Plans | $471 | 132% |
| Bright Health - All Plans | $516 | 145% |
| Bc Medi-Cal | $532 | 149% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $538 | 151% |
| Preferred Commercial - All Other Plans | $538 | 151% |
| Intergrated Medical - All Plans | $583 | 164% |
| Access Medi-Cal | $594 | 167% |
| Ahp Medi-Cal | $594 | 167% |
| Alta Los Angeles Mcal 1/1/19 | $594 | 167% |
| Avanti Mcal | $594 | 167% |
| Bella Vista Medi-Cal Op/Profee Only | $594 | 167% |
| Healthcare Inc Medi-Cal | $594 | 167% |
| Lasalle Mg Medi-Cal | $594 | 167% |
| Medi-Cal | $594 | 167% |
| Molina Medi-Cal | $594 | 167% |
| Pacific Alliance Medi-Cal | $594 | 167% |
| Pacific Ipa Medi-Cal | $594 | 167% |
| Preferred Ipa La Care Mcal Cap | $594 | 167% |
| Preferred Medi-Cal | $594 | 167% |
| Hcpamg - All Plans | $603 | 169% |
| Molina Benefit Exchange - All Other Plans | $606 | 170% |
| Caremore Mcare - All Plans | $635 | 178% |
| Php-Prospect Health Plan Cap - All Plans | $673 | 189% |
| Altamed Medi-Cal - All Other Plans | $684 | 192% |
| Healthnet Mcal | $708 | 199% |
| Fcs Ipa Medi-Cal Op/Profee Only | $713 | 200% |
| Preferred Healthy | $743 | 208% |
| Ah Employee Health Plan - All Plans | $808 | 227% |
| Assoc Hispanic Physcns Mcal | $832 | 233% |
| Centivo - All Plans | $1,010 | 283% |
| Aetna | $1,478 | 415% |
| Blue Shield Medi-Cal | $1,486 | 417% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,600 | 449% |
| La Care Mcr Adv - All Plans | $2,000 | 561% |
| Care First Medi-Cal | $2,080 | 584% |
| Healthnet Comm Care | $2,335 | 655% |
| Scan Health Mcare - All Plans | $2,500 | 701% |
| Healthnet - All Other Plans | $2,593 | 727% |
| Cigna | $2,774 | 778% |
| Healthcare Inc - All Other Plans | $3,245 | 910% |
| Blue Shield Epn | $3,364 | 944% |
| Blue Shield - All Other Plans | $3,916 | 1099% |
| Pacific Ipa - All Other Plans | $5,372 | 1507% |
| Kaiser- All Plans | $5,796 | 1626% |
| Western Growers/Pinnacle - All Plans | $5,796 | 1626% |
| First Heatlh Ppo - All Plans | $8,199 | 2300% |
| Phcs Ppo - All Plans | $9,188 | 2578% |
| Ahf - All Plans | $10,602 | 2974% |
| Beech Street - All Plans | $10,602 | 2974% |
| Interplan Ppo - All Plans | $10,602 | 2974% |
| Corvel Corp - All Plans | $11,309 | 3173% |
| Multiplan Ppo - All Plans | $11,733 | 3292% |
| Healthmannet - All Plans | $12,016 | 3371% |
| Next Inc Ppo - All Plans | $12,016 | 3371% |
| Trpn - All Plans | $12,016 | 3371% |
| Fpn Ppo - All Plans | $12,722 | 3569% |
| Healthnet Mcr Adv | $21,628 | 6068% |