CMS Price Transparency Data
MRI, brain (no contrast)
Facility: Whittier Hospital Medical Center
Billing Code: 70551 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70551
- Insurance Median: $600
- Cash Discount Price: $919
- vs. Medicare Baseline: 2.46x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Whittier Hospital Medical Center is $600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $919. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.46x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$919
Average discount available for prompt cash payment at this facility.
Insurance Median
$600
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: $919 (377%)
Insurance Median: $600 (246%)
Cash: $919 (377% of Medicare)
Ins. Median: $600 (246% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $55 - $3,622 | 23% |
| Alliance Imaging | $75 | 31% |
| Aids Healthcare Foundation | $190 - $302 | 78% |
| Alta Med Health Network | $190 - $302 | 78% |
| Altamed Health Services Corporation | $190 | 78% |
| Beverly Hospital | $190 - $338 | 78% |
| Brand New Day | $190 - $377 | 78% |
| Emanate Health | $190 - $377 | 78% |
| Health Net | $190 - $2,765 | 78% |
| Healthy Way La | $190 | 78% |
| Heritage Provider Network | $190 - $414 | 78% |
| Kaiser Foundation | $190 - $5,072 | 78% |
| La Care Healthy Families/Healthy Kids | $190 | 78% |
| Non Contracted Medi-Cal | $190 | 78% |
| Prospect Health Plan | $190 - $491 | 78% |
| Synermed | $190 - $307 | 78% |
| Veterans Administration | $215 | 88% |
| La Care Health Plan | $219 - $3,985 | 90% |
| Caloptima | $266 - $302 | 109% |
| Monarch Healthplan | $266 | 109% |
| Aetna | $302 - $2,640 | 124% |
| Alta Los Angeles Hospitals Inc | $302 | 124% |
| Apa/Aco Inc | $302 | 124% |
| Avanti | $302 - $731 | 124% |
| Central Health Plan | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $317 | 124% |
| Pacificare Of California | $302 | 124% |
| Scan Health Plan | $302 | 124% |
| Blue Shield Of California | $307 - $4,749 | 126% |
| Caremore | $307 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $307 | 126% |
| La Care Covered Direct | $307 | 126% |
| Pacific Alliance Medical Center | $307 | 126% |
| Self-Pay | $307 | 126% |
| Tricare | $307 | 126% |
| Alignment Health Plan | $317 | 130% |
| Molina Healthcare Of California | $317 | 130% |
| San Miguel Health Plan | $338 | 139% |
| Chinatown Service Center Pace | $368 | 151% |
| UnitedHealthcare | $376 - $2,900 | 154% |
| Private Pay | $379 | 155% |
| Ahmc Health | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Molina Medical Center | $384 - $1,350 | 158% |
| Fmc Los Angeles County | $388 - $5,434 | 159% |
| Interplan Health Group | $396 | 162% |
| Athens Administrators Ahmc Work Comp | $408 | 167% |
| Misc 1 | $408 | 167% |
| Multiplan Wc | $408 | 167% |
| Ahmc Medi-Cal Reciprocity Agreement | $451 | 185% |
| Ahmc Reciprocity | $451 | 185% |
| Applecare Medical Group | $600 | 246% |
| Cost Containment | $600 | 246% |
| Universal Care | $600 - $4,709 | 246% |
| Physician Healthways | $659 - $724 | 270% |
| Care First Health Plan | $731 | 300% |
| County Of Los Angeles Dept Of Health Services | $731 | 300% |
| Hollywood Presbyterian Adv Med Mcal | $731 | 300% |
| Hollywood Presbyterian Medpoint Mcal | $731 | 300% |
| Medi Caid/ Medi Cal | $731 | 300% |
| Physicians Healthways Medical Corporation | $750 | 308% |
| Health Net Inc | $752 - $2,300 | 308% |
| Davita Healthcare Partners | $771 | 316% |
| Healthnet | $921 - $3,954 | 378% |
| Allied Physicians Ipa | $1,100 | 451% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,500 | 615% |
| Prospect Medical | $1,500 | 615% |
| Value Healthplan Of California | $1,600 | 656% |
| Cigna | $1,940 | 796% |
| Wear And Wood | $1,976 - $2,898 | 811% |
| Care 1St Health Plan | $2,100 | 861% |
| Great-West Healthcare Of California | $2,500 | 1026% |
| Coventry Health Care | $3,500 | 1436% |
| Coventry Health Care National Network | $3,500 | 1436% |
| New Horizon Medical Group Inc | $3,952 - $4,347 | 1621% |
| Us Comp Care | $4,611 - $5,072 | 1892% |
| Asi/Flex | $4,940 - $5,434 | 2027% |
| Community Care Network | $4,940 - $5,434 | 2027% |
| Interplan Corporation | $4,940 - $5,434 | 2027% |
| Managed Care Administrators | $4,940 - $5,434 | 2027% |
| Multiplan | $5,599 - $6,158 | 2297% |
| Commercial Non Contract | $6,587 - $7,245 | 2702% |
| Medi-Cal Sub Acute | $6,587 - $7,245 | 2702% |
| One Legacy | $6,587 - $7,245 | 2702% |