CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Whittier Hospital Medical Center
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $584
- Cash Discount Price: $1,173
- vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Whittier Hospital Medical Center is $584. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,173. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.64x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$1,173
Average discount available for prompt cash payment at this facility.
Insurance Median
$584
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,173 (329%)
Insurance Median: $584 (164%)
Cash: $1,173 (329% of Medicare)
Ins. Median: $584 (164% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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 |
|---|---|---|
| Blue Cross Blue Shield | $90 - $4,346 | 25% |
| Alliance Imaging | $125 | 35% |
| Aids Healthcare Foundation | $311 - $442 | 87% |
| Alta Med Health Network | $311 - $442 | 87% |
| Altamed Health Services Corporation | $311 | 87% |
| Beverly Hospital | $311 - $494 | 87% |
| Brand New Day | $311 - $552 | 87% |
| Emanate Health | $311 - $551 | 87% |
| Health Net | $311 - $2,765 | 87% |
| Healthy Way La | $311 | 87% |
| Heritage Provider Network | $311 - $606 | 87% |
| Kaiser Foundation | $311 - $6,084 | 87% |
| La Care Healthy Families/Healthy Kids | $311 | 87% |
| Non Contracted Medi-Cal | $311 | 87% |
| Prospect Health Plan | $311 - $718 | 87% |
| Synermed | $311 - $449 | 87% |
| Veterans Administration | $314 | 88% |
| La Care Health Plan | $358 - $4,000 | 100% |
| Caloptima | $435 - $442 | 122% |
| Monarch Healthplan | $435 | 122% |
| Private Pay | $439 | 123% |
| Aetna | $442 - $2,640 | 124% |
| Alta Los Angeles Hospitals Inc | $442 | 124% |
| Apa/Aco Inc | $442 | 124% |
| Avanti | $442 - $1,367 | 124% |
| Central Health Plan | $442 | 124% |
| Easy Choice Health Plan | $442 | 124% |
| Humana | $442 | 124% |
| Medicare (plans) | $442 - $464 | 124% |
| Pacificare Of California | $442 | 124% |
| Scan Health Plan | $442 | 124% |
| Blue Shield Of California | $449 - $10,553 | 126% |
| Caremore | $449 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $449 | 126% |
| La Care Covered Direct | $449 | 126% |
| Pacific Alliance Medical Center | $449 | 126% |
| Self-Pay | $449 | 126% |
| Tricare | $449 | 126% |
| Ahmc Medi-Cal Reciprocity Agreement | $451 | 127% |
| Ahmc Reciprocity | $451 | 127% |
| Alignment Health Plan | $464 | 130% |
| Molina Healthcare Of California | $464 | 130% |
| San Miguel Health Plan | $494 | 139% |
| Molina Medical Center | $534 - $561 | 150% |
| Chinatown Service Center Pace | $538 | 151% |
| Ahmc Health | $561 | 157% |
| Knox-Keene Act | $561 | 157% |
| Fmc Los Angeles County | $567 - $6,518 | 159% |
| Interplan Health Group | $579 | 162% |
| Athens Administrators Ahmc Work Comp | $597 | 167% |
| Misc 1 | $597 | 167% |
| Multiplan Wc | $597 | 167% |
| Applecare Medical Group | $600 | 168% |
| Cost Containment | $600 | 168% |
| Universal Care | $600 - $5,649 | 168% |
| UnitedHealthcare | $602 - $3,103 | 169% |
| Physicians Healthways Medical Corporation | $750 | 210% |
| Davita Healthcare Partners | $771 | 216% |
| Physician Healthways | $869 | 244% |
| Allied Physicians Ipa | $1,100 | 309% |
| Health Net Inc | $1,100 - $2,300 | 309% |
| Healthnet | $1,347 - $3,954 | 378% |
| Care First Health Plan | $1,367 | 384% |
| County Of Los Angeles Dept Of Health Services | $1,367 | 384% |
| Hollywood Presbyterian Adv Med Mcal | $1,367 | 384% |
| Hollywood Presbyterian Medpoint Mcal | $1,367 | 384% |
| Medi Caid/ Medi Cal | $1,367 | 384% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,500 | 421% |
| Prospect Medical | $1,500 | 421% |
| Value Healthplan Of California | $1,600 | 449% |
| Cigna | $1,940 | 544% |
| Care 1St Health Plan | $2,100 | 589% |
| Great-West Healthcare Of California | $2,500 | 701% |
| Wear And Wood | $2,607 - $3,476 | 731% |
| Coventry Health Care | $3,500 | 982% |
| Coventry Health Care National Network | $3,500 | 982% |
| New Horizon Medical Group Inc | $5,215 | 1463% |
| Us Comp Care | $6,084 | 1707% |
| Asi/Flex | $6,518 | 1829% |
| Community Care Network | $6,518 | 1829% |
| Interplan Corporation | $6,518 | 1829% |
| Managed Care Administrators | $6,518 | 1829% |
| Multiplan | $7,387 | 2072% |
| Commercial Non Contract | $8,691 | 2438% |
| Medi-Cal Sub Acute | $8,691 | 2438% |
| One Legacy | $8,691 | 2438% |