CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Garfield Medical Center
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $451
- Cash Discount Price: $7,612
- vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Garfield Medical Center is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,612. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.85x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$7,612
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: $7,612 (3123%)
Insurance Median: $451 (185%)
Cash: $7,612 (3123% 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
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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 | $58 - $3,806 | 24% |
| Advantage Care Ipa | $138 - $7,612 | 57% |
| Physicians Healthways Medical Corporation | $138 - $7,612 | 57% |
| Beverly Hospital | $186 - $338 | 76% |
| Brand New Day | $186 - $384 | 76% |
| Care 1St Mcl/Gar Cap Reciprocity | $186 | 76% |
| Community Health Plan | $186 | 76% |
| Emanate Health | $186 - $384 | 76% |
| Health Net | $186 - $5,846 | 76% |
| Healthy Way La | $186 | 76% |
| La Care Health Plan | $186 - $4,000 | 76% |
| Other Non-Contracting Medi-Cal | $186 | 76% |
| Physicians Healthways Medi-Cal | $186 - $7,612 | 76% |
| Veterans Administration | $215 | 88% |
| Aetna | $302 - $2,640 | 124% |
| Aids Health Foundation | $302 - $826 | 124% |
| Apa Aco Inc | $302 | 124% |
| Avanti | $302 - $826 | 124% |
| Blue Shield | $302 - $5,316 | 124% |
| Central Health Plan | $302 - $3,045 | 124% |
| Cms | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| Humana | $302 | 124% |
| Non-Contract Medi-Care | $302 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $302 | 124% |
| UnitedHealthcare | $302 - $2,900 | 124% |
| Blue Shield Of California | $307 - $4,773 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $307 | 126% |
| First Health Network | $307 - $3,300 | 126% |
| La Care Covered Direct | $307 | 126% |
| Scan Health Plan Sr Hmo | $307 | 126% |
| Self-Pay | $307 | 126% |
| Ucla Impact Dept Of Uncology | $307 | 126% |
| Alignment Health Plan | $317 | 130% |
| Molina Healthcare | $317 | 130% |
| Molina Healthcare Of California | $317 - $384 | 130% |
| Inter Valley Health Plan | $322 | 132% |
| National Disaster Medical System | $338 | 139% |
| San Miguel Health Plan | $338 | 139% |
| Chinatown Service Center Pace | $368 | 151% |
| Pacificare Of California Inc | $376 | 154% |
| Pacificare Ppo | $376 | 154% |
| Ahmc Health Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Preferred Health Network | $388 | 159% |
| Interplan | $396 - $5,709 | 162% |
| Athens Administrators | $408 | 167% |
| Multiplan | $408 - $6,470 | 167% |
| Other Non-Contracted Workers Compensation | $408 | 167% |
| Ahmc Healthcare Inc | $451 - $1,500 | 185% |
| Molina Medical Group | $478 | 196% |
| Health Net Comm/Hmo | $488 - $4,187 | 200% |
| Health Net Inc | $498 | 204% |
| Associated Hispanic Phys Of So Cal | $761 - $1,522 | 312% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $826 | 339% |
| Hollywood Presbyterian Medpoint Mcal | $826 | 339% |
| State Of California Medi-Cal | $826 | 339% |
| Caloptima Direct | $1,214 | 498% |
| Cigna | $1,774 | 728% |
| Access Ipa Ancillary | $3,045 | 1249% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $3,045 | 1249% |
| Health Net Foundation M Cal (Family Health Alliance) | $3,045 | 1249% |
| One Health Plan | $3,045 | 1249% |
| Pacific Independent Physician Association | $3,045 | 1249% |
| Phys Assoc Of San Gab Valley | $3,045 | 1249% |
| Alhambra Hospital | $4,567 | 1873% |
| Corvel Corporation | $5,328 | 2186% |
| Fmc Los Angeles Co Epo | $5,709 | 2342% |
| Americas Health Plan | $6,470 | 2654% |
| Health Payors Organization | $6,851 | 2810% |
| East La Reg Ctr | $7,612 | 3123% |
| Non Contract Commercial | $7,612 | 3123% |
| One Legacy | $7,612 | 3123% |
| Private Pay | $7,612 | 3123% |