CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Glendale Adventist Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $368
  • Cash Discount Price: $971
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Glendale Adventist Medical Center is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $971. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$971

Average discount available for prompt cash payment at this facility.

Insurance Median
$368

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: $971 (398%)
Insurance Median: $368 (151%)
Cash: $971 (398% of Medicare)
Ins. Median: $368 (151% 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 - $1,165 16%
Heritage Sr $60 - $87 25%
Heritage Commercial - All Other Plans $67 - $87 27%
Alignment Hp Mcr Adv - All Plans $73 - $8,634 30%
Blue Shield Mcr Adv $73 - $307 30%
Caremore Mcr Adv - All Plans $73 - $636 30%
Clever Care Mcr Adv - All Plans $73 - $307 30%
Healthcare Partners- All Plans $73 - $1,030 30%
La Care Mcr Adv- All Plans $73 - $2,000 30%
Molina Mcr $73 - $307 30%
Scan Mcr Adv - All Plans $73 - $2,500 30%
Tricare $73 - $307 30%
UnitedHealthcare $73 - $3,497 30%
Blue Cross Blue Shield $76 - $2,315 31%
Ah Employee Health Plan - All Plans $80 - $552 33%
Regal Medical Group Commercial - All Other Plans $87 - $368 36%
Dept Of State Hsp Metropolitan- All Plans $95 - $399 39%
Molina Exchange - All Other Plans $98 - $414 40%
Healthnet Mcr Adv $103 - $12,260 42%
Healthnet - All Other Plans $106 - $2,414 43%
Western Growers/Pinnacle - All Plans $108 - $3,713 44%
Centivo - All Plans $109 - $690 45%
Blue Shield Epn - All Other Plans $128 - $3,177 53%
Blue Shield Non Epn $135 - $3,661 55%
Aetna $154 - $1,678 63%
First Health- All Plans $177 - $5,008 73%
Bc Medi-Cal $186 - $324 76%
Blue Shield Medi-Cal $186 - $975 76%
Medi-Cal $186 - $390 76%
Molina Mcal $186 - $390 76%
Heritage Mcal $197 - $413 81%
Phcs- All Plans $199 - $5,612 82%
Healthnet Mcal $222 - $465 91%
Corvel- All Plans $245 - $6,907 101%
Health Mgmt Network - All Plans $260 - $7,339 107%
Kaiser - All Plans $260 - $7,339 107%
Regal Med Group Mcal $307 126%
Phys Assoc Op Only- All Plans $350 144%
Employers Health Network - All Plans $450 185%
Beech Street - All Plans $4,857 - $6,476 1992%
Choicecare - All Plans $4,857 - $6,476 1992%
Three Rivers - All Plans $5,505 - $7,339 2258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals