CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: San Joaquin General Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $304
  • Cash Discount Price: $749
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at San Joaquin General Hospital is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $749. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.25x the Medicare baseline. Located in 500 W Hospital Road, French Camp, CA.
Cash / Self-Pay
$749

Average discount available for prompt cash payment at this facility.

Insurance Median
$304

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: $749 (307%)
Insurance Median: $304 (125%)
Cash: $749 (307% of Medicare)
Ins. Median: $304 (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
Healthnet $200 - $2,782 82%
Ca Health And Wellness $223 - $229 91%
Hpsj $259 - $304 106%
Aetna $304 125%
Blue Cross Blue Shield $304 125%
Blueshield $304 125%
Brand New Day $304 125%
Cigna $304 125%
Humana $304 125%
Sutter $304 125%
UnitedHealthcare $304 125%
Blue Shield $1,620 665%
Networks By Design $3,472 1424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 W Hospital Road, French Camp, CA 95231
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals