CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Adventist Health White Memorial Montebello

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $381
  • Cash Discount Price: $307
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Adventist Health White Memorial Montebello is $381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.56x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$307

Average discount available for prompt cash payment at this facility.

Insurance Median
$381

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: $307 (126%)
Insurance Median: $381 (156%)
Cash: $307 (126% of Medicare)
Ins. Median: $381 (156% 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
Blue Shield Epn Core $271 111%
Blue Shield Comm - All Other Plans $281 115%
Aetna $307 - $671 126%
Alignment Health Plan-All Plans $307 126%
Altamed Mcare-All Other Plans $307 126%
Blue Shield Mcare Adv $307 126%
Brand New Day Mcare-All Other Plans $307 126%
Brandman Health Plan-All Plans $307 126%
Caremore-All Plans $307 126%
Clever Care Hp-All Plans $307 126%
Easy Choice Mcare Adv-All Plans $307 126%
Healthnet Med Adv $307 126%
Kaiser Mcare Adv $307 126%
Scan Health-All Plans $307 126%
Oscar-All Plans $322 132%
Blue Shield Epn Ifp $381 156%
Altamed Mcal $390 160%
Bc Mcal $390 160%
Blue Shield Promise Mcal $390 160%
Brand New Day Mcal $390 160%
Healthnet Mcal $390 160%
Kaiser Mcal $390 160%
La Care Mcal $390 160%
Medi-Cal $390 160%
Molina Mcal - All Plans $390 160%
Cigna $449 184%
Healthcare Partners-All Plans $473 194%
Healthnet Comm-All Other Plans $786 322%
Healthnet Salud $1,130 464%
Blue Cross Blue Shield $4,646 1906%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals