CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Alhambra Hospital Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $451
  • Cash Discount Price: $7,440
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Alhambra Hospital Medical Center is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,440. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.85x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$7,440

Average discount available for prompt cash payment at this facility.

Insurance Median
$451

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: $7,440 (3052%)
Insurance Median: $451 (185%)
Cash: $7,440 (3052% of Medicare)
Ins. Median: $451 (185% 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
Citrus Valley Health Partners $186 76%
La Care Pasc Seiu Misc $186 76%
La Care Medi-Cal Hmo $214 88%
Blue Shield 65 Plus $290 119%
Apa Aco $297 122%
Altamed Senior Services $302 124%
Blue Cross Blue Shield $302 - $958 124%
Brand New Day Sr $302 124%
Central Health Plan Of Ca Senior Hmo $302 124%
Health Net Senior Hmo $302 124%
Medicare (plans) $302 - $4,000 124%
Aetna $307 - $472 126%
Humana $307 126%
La Care Exchange $307 126%
Miscellaneous Senior Hmo $307 126%
Tricare $307 126%
UnitedHealthcare $307 - $376 126%
Wellcare Senior Hmo $307 126%
Alignment Senior Hmo $317 130%
Health Net Salud Con Hmo $373 153%
Molina Exchange $377 155%
Health Net Exchange $378 155%
Miscellaneous Work Comp Hmo $408 167%
Ahmc-Reciprocity-Comm/Senior $451 185%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $451 185%
Ahmc Health $453 186%
Allied Physicians Of Ca Commercial $460 189%
Health Net Ppo/Epo/Pos $640 263%
Allied Physicians Of Ca Medi-Cal $826 339%
Health Net Medi-Cal $826 339%
Kaiser Medi-Cal $826 339%
Medi-Cal $826 339%
Miscellaneous Medi-Cal Hmo $826 339%
Cigna $1,200 - $1,924 492%
Molina Health Plan $1,350 554%
Allied Physicians Medi-Cal $2,000 820%
Allied Physicians Comm/Sr $2,200 902%
Wellcare Allied Senior Hmo $2,604 1068%
Self Pay $2,976 1221%
Health Net Exchange Enhanced Ppo $3,155 1294%
Kaiser Commercial $4,613 1892%
Blue Shield Value Network Exchange $4,724 1938%
Blue Shield Hmo/Ppo $5,268 2161%
Multiplan $5,952 2442%
Miscellaneous Commercial Ppo/Hmo $7,440 3052%
Stewart Mg Senior Hmo $7,440 3052%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals