CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Monterey Park Hospital
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $581
- Cash Discount Price: $7,451
- vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Monterey Park Hospital is $581. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,451. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.63x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$7,451
Average discount available for prompt cash payment at this facility.
Insurance Median
$581
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: $7,451 (2090%)
Insurance Median: $581 (163%)
Cash: $7,451 (2090% of Medicare)
Ins. Median: $581 (163% 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 | $98 - $3,726 | 27% |
| La Care Health Plan | $254 - $725 | 71% |
| Access Ipa Ancillary | $311 - $404 | 87% |
| Alta Med Health Services Corp | $311 - $1,863 | 87% |
| Altamed Health Network | $311 - $442 | 87% |
| Altamed Health Services | $311 | 87% |
| Applecare Medical Group | $311 - $450 | 87% |
| Associated Hispanic Physicians Ancillary | $311 - $404 | 87% |
| Beverly Hospital | $311 - $494 | 87% |
| Brand New Day | $311 - $561 | 87% |
| Community Health Plan | $311 | 87% |
| Esperanza Medical Group Ipa | $311 - $500 | 87% |
| Health Net Medi Cal | $311 | 87% |
| Healthy Way La | $311 | 87% |
| Medical Managed Care Program | $311 | 87% |
| Other Non-Contracted Medi-Cal | $311 | 87% |
| Preferred Ipa | $311 - $561 | 87% |
| Veterans Administration | $314 | 88% |
| Bella Vista Medical Group | $359 - $1,400 | 101% |
| Mri/Ct Greater El Monte Hospital | $360 | 101% |
| Mri/Mra/Alhambra Hospital | $360 | 101% |
| Senior Citizens Choice | $398 | 112% |
| Mri/Mra/Eladh | $425 | 119% |
| Alignment Health Plan | $435 | 122% |
| Aetna | $442 - $2,640 | 124% |
| Aids Health Foundation | $442 - $1,367 | 124% |
| Apa/Aco Inc | $442 | 124% |
| Avanti | $442 - $1,367 | 124% |
| Blue Shield Of California | $442 - $9,341 | 124% |
| Cms | $442 | 124% |
| Easy Choice Health Plan | $442 | 124% |
| First Health Senior | $442 | 124% |
| Foundation Health Plan | $442 | 124% |
| Health Net | $442 - $2,300 | 124% |
| Health Net Inc | $442 - $3,954 | 124% |
| Humana | $442 | 124% |
| Medicare (plans) | $442 - $464 | 124% |
| Scan Health Plan | $442 | 124% |
| Secure Horizons | $442 | 124% |
| Ucla/Impact Cancer | $442 | 124% |
| UnitedHealthcare | $442 - $5,216 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $449 | 126% |
| Emanate Health | $449 - $1,367 | 126% |
| La Care | $449 | 126% |
| La Care Covered Direct | $449 | 126% |
| Maxi Med Inc/Ipa | $449 - $1,367 | 126% |
| Self-Pay | $449 | 126% |
| Ahmc Healthcare Inc | $451 | 127% |
| Molina Healthcare Medi-Connect | $464 | 130% |
| San Miguel Health Plan | $494 | 139% |
| Physician Healthways | $525 - $745 | 147% |
| Molina Medical Centers | $534 | 150% |
| Ahmc Health Epo | $561 | 157% |
| Knox-Keene Act | $561 | 157% |
| Molina Healthcare Of California | $561 | 157% |
| Preferred Health Network | $569 - $5,961 | 160% |
| Interplan | $581 - $5,588 | 163% |
| Asi Flex Ppo W/C | $599 | 168% |
| Athens Administrators | $599 | 168% |
| Indemnity W Comp Fee Schedule | $599 | 168% |
| Multiplan | $599 - $6,333 | 168% |
| Employee Health Systems Medical Group | $600 | 168% |
| Pacificare | $602 - $1,956 | 169% |
| Universal Care M Cal/Advantage Health Network | $650 | 182% |
| Healthcare Partners Affiliates Medical Group | $685 | 192% |
| Altamed Health Services Corporation | $745 | 209% |
| Crown City Medical Group Inc | $745 | 209% |
| One Health Plan | $775 - $4,471 | 217% |
| Tenet Reciprocity | $1,000 | 281% |
| Universal Care | $1,000 - $1,250 | 281% |
| Alhambra Community Dialysis Unit Inc | $1,230 - $4,471 | 345% |
| Health Net Of California | $1,336 - $2,765 | 375% |
| Bella Vista Medical Group Ancillary | $1,367 | 384% |
| Central Health Plan | $1,367 | 384% |
| Hollywood Presbyterian Adv Med Mcal | $1,367 | 384% |
| Hollywood Presbyterian Medpoint Mcal | $1,367 | 384% |
| Medi Cal | $1,367 | 384% |
| Community Health Plan M Cal Joy Ipa | $1,400 | 393% |
| Global Care Medical Group Ipa | $1,490 - $3,353 | 418% |
| Healthnet/Ehs Capitation | $1,490 | 418% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,500 | 421% |
| Cigna | $1,919 | 538% |
| Caloptima Direct | $2,009 | 564% |
| Healthnet | $2,365 | 664% |
| Central Health Plan Of California | $2,980 | 836% |
| Pacific Independent Physician Association | $2,980 | 836% |
| Greater Los Angeles Dialysis Inc | $4,471 | 1254% |
| Choice Care Network | $4,843 | 1359% |
| Corvel Corporation | $5,216 | 1463% |
| Bce Emergis Corp | $6,333 | 1777% |
| Commercial Non Contract | $7,451 | 2090% |
| One Legacy | $7,451 | 2090% |