CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Children's Hosp of Los Angeles
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $588
- Cash Discount Price: $904
- vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Children's Hosp of Los Angeles is $588. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $904. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.65x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$904
Average discount available for prompt cash payment at this facility.
Insurance Median
$588
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: $904 (254%)
Insurance Median: $588 (165%)
Cash: $904 (254% of Medicare)
Ins. Median: $588 (165% 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 |
|---|---|---|
| Inland Empire Health Plan | $136 - $904 | 38% |
| Medi-Cal | $136 - $904 | 38% |
| Molina | $136 - $904 | 38% |
| Medicare (plans) | $246 - $442 | 69% |
| Medicaid / KanCare | $271 - $904 | 76% |
| Shriners Hospital | $271 | 76% |
| Caloptima | $309 - $904 | 87% |
| Beech Street | $362 | 102% |
| Incentive Health Network | $362 | 102% |
| Non-Contract Payors | $362 | 102% |
| Health Net | $377 - $1,130 | 106% |
| St Francis Medical Center | $400 - $904 | 112% |
| Emanate Health Medical Center Mmc | $407 | 114% |
| Kaiser | $421 - $515 | 118% |
| Axminster Medical Group | $434 - $824 | 122% |
| Facey Medical Group | $434 - $824 | 122% |
| St. John'S Health Clinic | $434 - $824 | 122% |
| Champus | $435 | 122% |
| Altamed | $450 - $904 | 126% |
| Accarent Health | $452 | 127% |
| Citrus Valley Phys Grp | $452 - $650 | 127% |
| Gemcare Ipa | $452 - $918 | 127% |
| La Care | $452 - $904 | 127% |
| Managed Care Systems | $452 - $918 | 127% |
| Mercy Care | $452 | 127% |
| Pioneer Prov Ntwk | $452 | 127% |
| Sansum Clinic | $452 | 127% |
| Staywell Insurance | $452 | 127% |
| UnitedHealthcare | $461 - $904 | 129% |
| Book Md | $470 | 132% |
| Applecare Medical Group | $479 - $904 | 134% |
| Good Samaritan Medical Group | $479 - $1,008 | 134% |
| Blue Shield | $488 - $904 | 137% |
| Aetna | $497 | 139% |
| Bella Vista Med Grp | $497 - $904 | 139% |
| Centinela Valley Ipa | $497 - $904 | 139% |
| Choice Medical Group | $497 | 139% |
| Community Care | $497 | 139% |
| Culinary Health Fund | $497 - $500 | 139% |
| Global Care Medical Group | $497 - $904 | 139% |
| Health Care La Ipa | $497 - $904 | 139% |
| Intl - Global Excel Management | $497 - $588 | 139% |
| Intl - Global Medical Management | $497 | 139% |
| Intl - Quality Health Management | $497 - $588 | 139% |
| National Healthcare Solutions | $497 | 139% |
| Premier Physicians Ntwk | $497 - $904 | 139% |
| Blue Cross Blue Shield | $528 - $1,527 | 148% |
| Access Medical Group | $533 | 150% |
| Seoul Medical Group | $533 - $1,195 | 150% |
| Intl - Aixin Life Insurance Co | $537 - $588 | 151% |
| Alhambra Hospital Medical Center | $542 - $904 | 152% |
| Allied Pacific Ipa | $542 - $904 | 152% |
| Bright Medical Associates | $542 | 152% |
| Delta Health Systems | $542 | 152% |
| Emanate Health Medical Center Commercial | $542 | 152% |
| Family Care Specialists | $542 - $904 | 152% |
| Los Angeles Medical Center Ipa | $542 - $904 | 152% |
| Preferred Ipa - Commercial | $542 | 152% |
| Private Hlthcare System | $542 | 152% |
| Sanus Health | $542 | 152% |
| Self-Pay | $542 | 152% |
| Ventura County Health Plan | $542 - $1,022 | 152% |
| Serra Community Med Clinic | $543 - $904 | 152% |
| Heritage Provider Network | $545 - $1,250 | 153% |
| Sierra Health And Life Insurance Company | $566 | 159% |
| Axis Services International | $588 | 165% |
| Calvo Selectcare | $588 | 165% |
| Cedar Sinai Med Grp | $588 | 165% |
| Embassy - Saudi Arabia | $588 | 165% |
| Intl - Concierge Healthcare Services | $588 | 165% |
| Intl - Erv Travel Services | $588 - $633 | 165% |
| Intl - Msh China Enterprise Services | $588 | 165% |
| Lakewood Health Plan | $588 | 165% |
| Marian Health Services | $588 | 165% |
| Plotkin Health | $588 | 165% |
| Prime Health Services | $588 | 165% |
| Redlands Community Hospital | $588 | 165% |
| Seaside Health Plan | $588 - $904 | 165% |
| Serra Community Med Clinic - Commercial | $588 | 165% |
| Star Healthcare Network Commercial | $588 | 165% |
| Cigna | $601 | 169% |
| Angeles Ipa | $633 - $904 | 178% |
| Beaver Medical Group | $633 | 178% |
| Korean American Med Grp | $633 | 178% |
| Memorialcare Med Foundation | $633 | 178% |
| Multiplan | $633 | 178% |
| Primecare Medical Network | $633 | 178% |
| Associated Hispanic Physicians Ipa | $678 - $904 | 190% |
| Embassy - Kuwait | $678 | 190% |
| Hispanic Physician Ipa | $678 - $904 | 190% |
| Interlink Health Services | $678 | 190% |
| Prospect Medical Group | $678 | 190% |
| Embassy - All Others | $723 | 203% |
| Self-Pay International | $723 | 203% |
| Providence Health Network | $790 | 222% |
| Adventist Health Physicians | $808 - $904 | 227% |
| Accountable Health | $904 | 254% |
| Asian Community Medical Group | $904 | 254% |
| Avalon Ipa | $904 | 254% |
| Beverly Hospital | $904 | 254% |
| Cal Care Ipa | $904 | 254% |
| California Pacific Physicians Medical Group | $904 | 254% |
| Care 1St | $904 | 254% |
| Cencal Health | $904 | 254% |
| Choc Health Alliance | $904 | 254% |
| Community Care Ipa Mmc | $904 | 254% |
| Community Family Care Ipa | $904 | 254% |
| Crown City Medical Group | $904 | 254% |
| Dignity Health | $904 | 254% |
| El Proyecto Del Barrio | $904 | 254% |
| Employee Health Systems Med Grp | $904 | 254% |
| Exceptional Care Medical Group | $904 - $1,060 | 254% |
| Family Health Alliance Med Grp | $904 | 254% |
| Gold Coast Health Plan | $904 | 254% |
| Healthy New Life Medical Corp | $904 | 254% |
| Hollywood Presbyterian Medical Center | $904 | 254% |
| Imperial Health Holdings Medical Group | $904 | 254% |
| Karing Physicians Medical Group | $904 | 254% |
| Kern Family Health Plan | $904 | 254% |
| Mabuhay Medical Group | $904 | 254% |
| Noble Community Medical Associates | $904 | 254% |
| Pacific Alliance Medical Center | $904 | 254% |
| Point Comfort Underwriters | $904 | 254% |
| Preferred Ipa | $904 | 254% |
| Primary Care And Pediatric Ipa | $904 | 254% |
| Regent Medical Group | $904 | 254% |
| San Judas Med Grp | $904 | 254% |
| Serendib Healthways Mmc | $904 | 254% |
| Souther California Hosp System - Mmc | $904 | 254% |
| Southern Atlantic Medical Group Mmc | $904 - $940 | 254% |
| Southland San Gabriel Valley Medical Group | $904 | 254% |
| Superior Choice Medical Group | $904 | 254% |
| Valley Presbyterian Hospital | $904 | 254% |
| Watts Healthcare Mmc | $904 | 254% |
| White Memorial Medical Center | $904 | 254% |