CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Monterey Park Hospital
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $451
- Cash Discount Price: $7,020
- vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Monterey Park Hospital is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,020. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.85x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$7,020
Average discount available for prompt cash payment at this facility.
Insurance Median
$451
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: $7,020 (2880%)
Insurance Median: $451 (185%)
Cash: $7,020 (2880% of Medicare)
Ins. Median: $451 (185% 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 Cross Blue Shield | $58 - $3,510 | 24% |
| La Care Health Plan | $145 - $725 | 59% |
| Alta Med Health Services Corp | $186 - $1,755 | 76% |
| Altamed Health Network | $186 - $302 | 76% |
| Altamed Health Services | $186 | 76% |
| Applecare Medical Group | $186 - $450 | 76% |
| Beverly Hospital | $186 - $338 | 76% |
| Brand New Day | $186 - $384 | 76% |
| Community Health Plan | $186 | 76% |
| Health Net Medi Cal | $186 | 76% |
| Healthy Way La | $186 | 76% |
| Medical Managed Care Program | $186 | 76% |
| Other Non-Contracted Medi-Cal | $186 | 76% |
| Preferred Ipa | $186 - $384 | 76% |
| Veterans Administration | $215 | 88% |
| Bella Vista Medical Group | $246 - $1,400 | 101% |
| Senior Citizens Choice | $272 | 112% |
| Alignment Health Plan | $297 | 122% |
| Aetna | $302 - $2,640 | 124% |
| Aids Health Foundation | $302 - $826 | 124% |
| Apa/Aco Inc | $302 | 124% |
| Avanti | $302 - $826 | 124% |
| Blue Shield Of California | $302 - $4,661 | 124% |
| Cms | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| First Health Senior | $302 | 124% |
| Foundation Health Plan | $302 | 124% |
| Health Net | $302 - $2,300 | 124% |
| Health Net Inc | $302 - $3,954 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $317 | 124% |
| Scan Health Plan | $302 | 124% |
| Secure Horizons | $302 | 124% |
| Ucla/Impact Cancer | $302 | 124% |
| UnitedHealthcare | $302 - $4,914 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $307 | 126% |
| Emanate Health | $307 - $826 | 126% |
| La Care | $307 | 126% |
| La Care Covered Direct | $307 | 126% |
| Maxi Med Inc/Ipa | $307 - $826 | 126% |
| Self-Pay | $307 | 126% |
| Molina Healthcare Medi-Connect | $317 | 130% |
| San Miguel Health Plan | $338 | 139% |
| Mri/Ct Greater El Monte Hospital | $360 | 148% |
| Mri/Mra/Alhambra Hospital | $360 | 148% |
| Pacificare | $376 - $1,956 | 154% |
| Ahmc Health Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Molina Healthcare Of California | $384 | 158% |
| Preferred Health Network | $385 - $5,616 | 158% |
| Access Ipa Ancillary | $390 | 160% |
| Associated Hispanic Physicians Ancillary | $390 | 160% |
| Esperanza Medical Group Ipa | $390 | 160% |
| Interplan | $393 - $5,265 | 161% |
| Asi Flex Ppo W/C | $405 | 166% |
| Athens Administrators | $405 | 166% |
| Indemnity W Comp Fee Schedule | $405 | 166% |
| Multiplan | $405 - $5,967 | 166% |
| Mri/Mra/Eladh | $425 | 174% |
| Ahmc Healthcare Inc | $451 | 185% |
| Molina Medical Centers | $478 | 196% |
| Physician Healthways | $525 - $702 | 215% |
| Employee Health Systems Medical Group | $600 | 246% |
| Universal Care M Cal/Advantage Health Network | $650 | 267% |
| Healthcare Partners Affiliates Medical Group | $685 | 281% |
| Altamed Health Services Corporation | $702 | 288% |
| Crown City Medical Group Inc | $702 | 288% |
| Alhambra Community Dialysis Unit Inc | $743 - $4,212 | 305% |
| One Health Plan | $775 - $4,212 | 318% |
| Bella Vista Medical Group Ancillary | $826 | 339% |
| Central Health Plan | $826 | 339% |
| Hollywood Presbyterian Adv Med Mcal | $826 | 339% |
| Hollywood Presbyterian Medpoint Mcal | $826 | 339% |
| Medi Cal | $826 | 339% |
| Health Net Of California | $914 - $2,765 | 375% |
| Tenet Reciprocity | $1,000 | 410% |
| Universal Care | $1,000 - $1,250 | 410% |
| Allied Physicians Ipa | $1,100 | 451% |
| Caloptima Direct | $1,214 | 498% |
| Community Health Plan M Cal Joy Ipa | $1,400 | 574% |
| Global Care Medical Group Ipa | $1,404 - $3,159 | 576% |
| Healthnet/Ehs Capitation | $1,404 | 576% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,500 | 615% |
| Cigna | $1,919 | 787% |
| Healthnet | $2,365 | 970% |
| Central Health Plan Of California | $2,808 | 1152% |
| Pacific Independent Physician Association | $2,808 | 1152% |
| Greater Los Angeles Dialysis Inc | $4,212 | 1728% |
| Choice Care Network | $4,563 | 1872% |
| Corvel Corporation | $4,914 | 2016% |
| Bce Emergis Corp | $5,967 | 2448% |
| Commercial Non Contract | $7,020 | 2880% |
| One Legacy | $7,020 | 2880% |