CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Adventist Health Lodi Memorial

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$267

about 1.1× the $244 Medicare rate · typically $209–$501

modeled estimate · not a bill or quote

What this hospital charges insurers

$223

Below the fair price — a good deal

about $44 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $267 This hospital $223 Cash price $382 Hospital's list price $5,460

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $60 Priciest $223

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a MRI, lower back (no contrast) is about $267 (about 1.1× the $244 Medicare rate). Adventist Health Lodi Memorial charges insurers about $223, or about $382 in cash — below the fair price — a good deal. Located in Lodi, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$70 - $364	29%
Blue Cross Blue Shieldmajor	$70 - $4,055	29%
Aetnamajor	$406 - $3,350	167%
Cignamajor	$39 - $10,861	16%
Humanamajor	$70 - $315	29%
Kaiser Permanentemajor	$94 - $4,948	39%
Bright Health	$629	258%
Health Net	$70 - $5,927	29%
+ 13 smaller / regional plans	$70 - $10,861

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 382), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72148.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Lodi Memorial is in-network.
Ask your insurer whether prior approval is required for CPT code 72148.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Lodi Memorial

Compare: MRI, lower back (no contrast) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.