CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Adventist Health Hanford

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $307
  • Cash Discount Price: $619
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Adventist Health Hanford is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $619. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$619

Average discount available for prompt cash payment at this facility.

Insurance Median
$307

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: $619 (254%)
Insurance Median: $307 (126%)
Cash: $619 (254% of Medicare)
Ins. Median: $307 (126% 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
Cigna $39 - $3,704 16%
Blue Shield Mcr Adv $70 - $307 29%
Fhcn Pace Mcr Adv-All Plans $70 - $307 29%
Prime Health Mcr Adv- All Plans $70 - $307 29%
Tricare $70 - $307 29%
UnitedHealthcare $70 - $2,618 29%
Central Valley Med Prov Profee Only-All Plans $73 30%
Ah Employee Health Plan - All Plans $77 - $552 32%
Kaiser - All Other Plans $94 - $3,118 39%
Kaiser Mcr Adv $94 - $307 39%
Healthnet - All Other Plans $102 - $3,330 42%
Western Growers/Pinnacle- All Plans $104 - $2,869 43%
Blue Shield Epn $128 - $2,931 53%
Blue Cross Blue Shield $131 - $2,216 54%
Blue Shield Non-Epn - All Other Plans $135 - $3,212 55%
Bc Mcal $186 - $328 76%
Healthnet Mcal $186 - $511 76%
Kaiser Mcal $186 - $390 76%
Medi-Cal $186 - $390 76%
Universal Hc Mcal Profee $186 76%
Upn Mcal Profee $186 76%
Valley Childrens - All Plans $276 - $655 113%
Healthnet Mcr Adv $307 126%
Key Medical Mcr Adv $307 126%
Universal Hc Mcr Adv Profee - All Other Plans $307 126%
Upn Mcr Adv Profee - All Other Plans $307 126%
Aetna $335 - $5,796 137%
Key Medical Group Commercial - All Other Plans $368 151%
Bright Health Mcr Adv-All Plans $482 198%
Fresno - All Plans $644 264%
Interplan- All Plans $790 324%
Phcs Ppo- All Plans $4,053 1663%
Community Hlth Ntwork-All Plans $4,178 1714%
First Health - All Plans $4,864 1995%
Choicecare- All Plans $5,114 2098%
Multiplan- All Plans $5,176 2123%
Beech Street- All Plans $5,301 2175%
Preferred Health Network- All Plans $5,924 2430%
Pacific Health Alliance- All Plans $6,049 2481%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals