CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Clovis Community Medical Center
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $204
- Cash Discount Price: $3,945
- vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Clovis Community Medical Center is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,945. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.84x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$3,945
Average discount available for prompt cash payment at this facility.
Insurance Median
$204
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: $3,945 (1618%)
Insurance Median: $204 (84%)
Cash: $3,945 (1618% of Medicare)
Ins. Median: $204 (84% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $70 - $307 | 29% |
| Aetna | $70 - $2,466 | 29% |
| Blue Cross Blue Shield | $70 - $3,136 | 29% |
| Blue Shield | $70 - $2,806 | 29% |
| Blue Shield 65 Plus Hmo Ehs | $70 - $307 | 29% |
| Blue Shield 65 Plus Hmo First Choice | $70 - $307 | 29% |
| Blue Shield Hmo-Cvmp/Medpro | $70 - $307 | 29% |
| Blue Shield Promise - Imperial | $70 - $307 | 29% |
| Blue Shield Saint Agnes | $70 - $307 | 29% |
| Blue Shield Sante | $70 - $307 | 29% |
| Brand New Day | $70 - $307 | 29% |
| Bscphp - Dhmso | $70 - $307 | 29% |
| Bscphp - First Choice | $70 - $307 | 29% |
| Bscphp Hmo - First Choice | $70 - $307 | 29% |
| Care1St Hmo - Ehs | $70 - $307 | 29% |
| Cares Act Provider Relief Fund | $70 - $307 | 29% |
| Cigna | $70 - $3,058 | 29% |
| Gemcare Hmo | $70 - $307 | 29% |
| Generic | $70 - $307 | 29% |
| Generic Bscphp | $70 - $307 | 29% |
| Generic Victims Of Crime | $70 - $307 | 29% |
| Hartford Life Supplement | $70 - $307 | 29% |
| Healthnet Hmo - Cvmp/Medpro | $70 - $307 | 29% |
| Healthnet Hmo - Dhmso | $70 - $307 | 29% |
| Healthnet Hmo - La Salle | $70 - $307 | 29% |
| Healthnet Hmo - Sante | $70 - $307 | 29% |
| Healthnet Sante | $70 - $307 | 29% |
| Healthnet Sante - Sub Cap Dual Risk | $70 - $307 | 29% |
| Healthnet Sante Dual Risk | $70 - $307 | 29% |
| Humana | $70 - $3,698 | 29% |
| Medi-Cal Innovative Integrated Health | $70 - $307 | 29% |
| Medicare (plans) | $70 - $307 | 29% |
| Meritage Blue Shield 65 Plus | $70 - $307 | 29% |
| Meritage Brand New Day | $70 - $307 | 29% |
| Meritage Healthnet Hmo | $70 - $307 | 29% |
| Railroad Part A | $70 - $307 | 29% |
| Railroad Part A & B | $70 - $307 | 29% |
| Railroad Part B | $70 - $307 | 29% |
| Sante | $70 - $307 | 29% |
| Sante Sub Cap Healthnet Seniority | $70 - $307 | 29% |
| Sante Sub Cap-Blue Shield/Sante | $70 - $307 | 29% |
| Sante-Blue Shield/Sante | $70 - $307 | 29% |
| Sante-Healthnet Seniority | $70 - $307 | 29% |
| Sante-Sub Cap Ma Brand New Day | $70 - $307 | 29% |
| Scan Health Plan | $70 - $307 | 29% |
| Sequoia Pace - Peak Tpa | $70 - $307 | 29% |
| Todays Pyramid | $70 - $307 | 29% |
| UnitedHealthcare | $70 - $2,585 | 29% |
| Us Marshal | $70 - $307 | 29% |
| Victims Of Crime | $70 - $307 | 29% |
| Well Path (Cfmg) | $70 - $5,424 | 29% |
| Wellcare | $70 - $307 | 29% |
| Alignment Health Plan | $77 - $338 | 32% |
| Champion Health Plan Of California Ma | $77 - $338 | 32% |
| Innovative Integrated Health Community Plans Hmo | $77 - $338 | 32% |
| Imperial Health Plan Hmo | $80 - $353 | 33% |
| Correctcare Integrated Health | $91 - $399 | 37% |
| Coalinga State Hospital | $140 - $614 | 57% |
| Naphcare Inc-Mendota | $150 - $660 | 62% |
| Cal Caloptima | $186 | 76% |
| Ccs Fresno | $186 | 76% |
| Ccs Kern | $186 | 76% |
| Ccs Kings | $186 | 76% |
| Ccs Madera/Sacramento | $186 | 76% |
| Ccs Mariposa | $186 | 76% |
| Ccs Merced | $186 | 76% |
| Ccs Stanislaus | $186 | 76% |
| Ccs Tulare | $186 | 76% |
| Chdp | $186 | 76% |
| Fresno County Funded Specialty Care | $186 | 76% |
| Generic Care Out Of County | $186 | 76% |
| Generic Ccs Other Counties | $186 | 76% |
| Genetically Handicapped Person | $186 | 76% |
| Gold Coast Medi-Cal | $186 | 76% |
| Medi-Cal Alameda Alliance For Health | $186 | 76% |
| Medi-Cal Blue Shield Promise Health | $186 | 76% |
| Medi-Cal California Health & Wellness Plan | $186 | 76% |
| Medi-Cal Cencal Health | $186 | 76% |
| Medi-Cal Community Health Group | $186 | 76% |
| Medi-Cal Contra Costa Health Plan | $186 | 76% |
| Medi-Cal Health Plan Of San Mateo | $186 | 76% |
| Medi-Cal Inland Empire Health | $186 | 76% |
| Medi-Cal Kern Family Health | $186 | 76% |
| Medi-Cal La Care Health | $186 | 76% |
| Medi-Cal Molina | $186 | 76% |
| Medi-Cal Partnership Health Plan Of Ca | $186 | 76% |
| San Francisco Health Plan Medi-Cal | $186 | 76% |
| Santa Clara Family Health Plan - Premier Health | $186 | 76% |
| Santa Clara Family Health Plan - Valley Health | $186 | 76% |
| Kaiser | $244 | 100% |
| Health Plan Of San Joaquin | $279 | 114% |
| Sequoia Pace | $279 | 114% |
| Adventist -Mcl Calviva Sub Cap | $307 | 126% |
| Healthnet | $358 - $2,894 | 147% |
| Central Valley Medical Providers | $1,233 - $3,452 | 506% |
| Community Care | $1,257 | 516% |
| Network By Design | $1,345 - $3,698 | 552% |
| Employer 90/40 | $1,972 | 809% |
| Central Ca Indian Health | $2,712 | 1113% |
| Nx Health Network Ppo | $2,712 | 1113% |
| Healthsmart | $3,353 - $3,945 | 1375% |
| Coventry Health Care (First Health Network) | $3,698 | 1517% |
| Generic Multiplan | $4,191 | 1719% |
| Phcs | $4,191 | 1719% |