CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Adventist Health White Memorial
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $1,412
- Cash Discount Price: $1,589
- vs. Medicare Baseline: 5.79x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Adventist Health White Memorial is $1,412. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,589. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.79x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$1,589
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,412
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: $1,589 (652%)
Insurance Median: $1,412 (579%)
Cash: $1,589 (652% of Medicare)
Ins. Median: $1,412 (579% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 579% of the Medicare baseline (a markup of 479%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | 35% |
| Access Group | $261 | 107% |
| Ahp - All Other Plans | $261 | 107% |
| Lasalle Mg Commercial - All Other Plans | $261 | 107% |
| Access Senior - All Other Plans | $307 | 126% |
| Ahp Senior | $307 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $307 | 126% |
| Altamed Connect | $307 | 126% |
| Avanti Mcr Adv - All Other Plans | $307 | 126% |
| Brand New Day Mcare - All Plans | $307 | 126% |
| Bs Va Mcare | $307 | 126% |
| Care First Mcare - All Other Plans | $307 | 126% |
| Clever Care - All Plans | $307 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $307 | 126% |
| Humana | $307 | 126% |
| Lasalle Mg Senior | $307 | 126% |
| Medicare (plans) | $307 | 126% |
| Molina Mcare | $307 | 126% |
| Pacific Alliance Mcare - All Other Plans | $307 | 126% |
| Preferred Senior | $307 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $307 | 126% |
| Tricare | $307 | 126% |
| UnitedHealthcare | $307 - $5,046 | 126% |
| Blue Cross Blue Shield | $319 - $2,239 | 131% |
| Bc Medi-Cal | $322 | 132% |
| Fcs Ipa Op/Profee Only - All Other Plans | $322 | 132% |
| Bright Health - All Plans | $353 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $368 | 151% |
| Preferred Commercial - All Other Plans | $368 | 151% |
| Access Medi-Cal | $390 | 160% |
| Ahp Medi-Cal | $390 | 160% |
| Alta Los Angeles Mcal 1/1/19 | $390 | 160% |
| Avanti Mcal | $390 | 160% |
| Bella Vista Medi-Cal Op/Profee Only | $390 | 160% |
| Healthcare Inc Medi-Cal | $390 | 160% |
| Lasalle Mg Medi-Cal | $390 | 160% |
| Medi-Cal | $390 | 160% |
| Molina Medi-Cal | $390 | 160% |
| Pacific Alliance Medi-Cal | $390 | 160% |
| Pacific Ipa Medi-Cal | $390 | 160% |
| Preferred Ipa La Care Mcal Cap | $390 | 160% |
| Preferred Medi-Cal | $390 | 160% |
| Intergrated Medical - All Plans | $399 | 164% |
| Molina Benefit Exchange - All Other Plans | $414 | 170% |
| Altamed Medi-Cal - All Other Plans | $449 | 184% |
| Php-Prospect Health Plan Cap - All Plans | $460 | 189% |
| Healthnet Mcal | $465 | 191% |
| Fcs Ipa Medi-Cal Op/Profee Only | $468 | 192% |
| Preferred Healthy | $488 | 200% |
| Assoc Hispanic Physcns Mcal | $546 | 224% |
| Ah Employee Health Plan - All Plans | $552 | 226% |
| Hcpamg - All Plans | $603 | 247% |
| Caremore Mcare - All Plans | $635 | 260% |
| Centivo - All Plans | $690 | 283% |
| Blue Shield Medi-Cal | $975 | 400% |
| Care First Medi-Cal | $1,365 | 560% |
| Cigna | $1,412 | 579% |
| Aetna | $1,478 | 606% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,600 | 656% |
| Blue Shield Epn | $1,801 - $2,402 | 739% |
| La Care Mcr Adv - All Plans | $2,000 | 820% |
| Blue Shield - All Other Plans | $2,097 - $2,795 | 860% |
| Healthnet Comm Care | $2,335 | 958% |
| Scan Health Mcare - All Plans | $2,500 | 1026% |
| Healthnet - All Other Plans | $2,593 | 1064% |
| Pacific Ipa - All Other Plans | $2,876 - $3,835 | 1180% |
| Kaiser- All Plans | $3,103 - $4,138 | 1273% |
| Western Growers/Pinnacle - All Plans | $3,103 - $4,138 | 1273% |
| Healthcare Inc - All Other Plans | $3,245 | 1331% |
| First Heatlh Ppo - All Plans | $4,390 - $5,853 | 1801% |
| Phcs Ppo - All Plans | $4,920 - $6,560 | 2018% |
| Ahf - All Plans | $5,677 - $7,569 | 2329% |
| Beech Street - All Plans | $5,677 - $7,569 | 2329% |
| Interplan Ppo - All Plans | $5,677 - $7,569 | 2329% |
| Corvel Corp - All Plans | $6,055 - $8,074 | 2484% |
| Multiplan Ppo - All Plans | $6,282 - $8,376 | 2577% |
| Healthmannet - All Plans | $6,434 - $8,578 | 2639% |
| Next Inc Ppo - All Plans | $6,434 - $8,578 | 2639% |
| Trpn - All Plans | $6,434 - $8,578 | 2639% |
| Fpn Ppo - All Plans | $6,812 - $9,083 | 2794% |
| Healthnet Mcr Adv | $11,581 - $15,441 | 4751% |