CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Casa Colina Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $384
  • Cash Discount Price: $399
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Casa Colina Hospital is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.58x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$399

Average discount available for prompt cash payment at this facility.

Insurance Median
$384

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: $399 (164%)
Insurance Median: $384 (158%)
Cash: $399 (164% of Medicare)
Ins. Median: $384 (158% 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
Heritage Prvdr Ntwrk Mcal $246 101%
Prospect Hp Mcal $276 113%
Heritage Prvdr Ntwrk Comm - All Other Plans $280 - $506 115%
Heritage Prvdr Ntwrk Mcr $280 - $506 115%
Healthnet Comm - All Other Plans $287 - $518 118%
Promed Hlth Ntwrk Op Only - All Plans $292 120%
Aetna $307 - $632 126%
Blue Cross Blue Shield $307 - $741 126%
Blue Shield Mcr Adv $307 126%
Caremore Mcr Adv - All Plans $307 126%
Central Hlth Plan - All Plans $307 126%
Doctors Managed Op Only - All Plans $307 126%
Empire Healthcare Op Only - All Plans $307 126%
Epic Comm - All Other Plans $307 - $525 126%
Epic Mcr Adv $307 - $525 126%
Focus Healthcare Wc - All Plans $307 126%
Healthnet Mcr Adv $307 126%
Humana $307 - $632 126%
Iehp - All Other Plans $307 126%
Iehp Mcr Adv $307 126%
Kaiser Comm - All Other Plans $307 126%
Kaiser Mcr Adv $307 126%
Premiercare Op Only - All Plans $307 126%
Prospect Hp Mcr Adv $307 126%
Triwest - All Plans $307 126%
UnitedHealthcare $307 - $632 126%
Wellcare Mcr Adv - All Plans $307 126%
Prospect Hp Comm - All Other Plans $338 139%
Corvel - All Plans $350 - $632 144%
Coventry - All Plans $350 - $632 144%
Multiplan - All Plans $350 - $632 144%
Three Rivers - All Plans $350 - $632 144%
Affiliated Hlth Funds - All Plans $384 158%
Cigna $392 - $707 161%
Brand New Day Mcr Adv - All Plans $420 - $758 172%
Medi-Cal $439 180%
Kaiser Mcal $483 198%
Galaxy Provdr Ntwrk - All Plans $490 - $885 201%
Blue Shield Comm - All Other Plans $518 - $934 212%
Healthcare Partners - All Other Plans $525 - $560 215%
Healthcare Partners Mcr $525 - $560 215%
Primecare Comm - All Other Plans $525 - $560 215%
Primecare Mcr Adv $525 - $560 215%
Prospect Med Grp Alta - All Plans $595 - $1,074 244%
Iehp Mcal $701 - $1,098 288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals