CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Adventist Health Mendocino Coast

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $390
  • Cash Discount Price: $1,457
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Adventist Health Mendocino Coast is $390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,457. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.60x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.
Cash / Self-Pay
$1,457

Average discount available for prompt cash payment at this facility.

Insurance Median
$390

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: $1,457 (598%)
Insurance Median: $390 (160%)
Cash: $1,457 (598% of Medicare)
Ins. Median: $390 (160% 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
Cigna $70 - $3,228 29%
Tricare $70 - $2,028 29%
UnitedHealthcare $70 - $3,349 29%
Blue Cross Blue Shield $75 - $3,195 31%
Ah Employee Health Plan - All Plans $77 - $2,152 32%
Healthnet - All Plans $102 - $2,694 42%
Blue Shield Epn $128 - $1,564 53%
Blue Shield - All Other Plans $135 - $3,178 55%
Medi-Cal $186 - $390 76%
Partnership Hp Mcal-All Plans $270 - $1,170 111%
Ahcc - All Plans $276 - $3,724 113%
Beech Street - All Plans $276 - $3,724 113%
Great West Hmo/Pos/Epo/Oa $276 - $2,690 113%
Great West Ppo - All Other Plans $276 - $2,897 113%
Multiplan - All Plans $276 - $2,897 113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 River Drive, Fort Bragg, CA 95437
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals