CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Children's Hosp of Los Angeles
Billing Code: 72148 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72148
- Insurance Median: $335
- Cash Discount Price: $478
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Children's Hosp of Los Angeles is $335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.37x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$478
Average discount available for prompt cash payment at this facility.
Insurance Median
$335
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: $478 (196%)
Insurance Median: $335 (137%)
Cash: $478 (196% of Medicare)
Ins. Median: $335 (137% 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.
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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 | $72 - $478 | 30% |
| Medi-Cal | $72 - $478 | 30% |
| Molina | $72 - $478 | 30% |
| Shriners Hospital | $143 | 59% |
| Medicaid / KanCare | $143 - $478 | 59% |
| Non-Contract Payors | $191 | 78% |
| Beech Street | $191 | 78% |
| Incentive Health Network | $191 | 78% |
| Health Net | $199 - $598 | 82% |
| Medicare (plans) | $215 - $302 | 88% |
| Emanate Health Medical Center Mmc | $215 | 88% |
| Kaiser | $223 - $272 | 91% |
| St. John's Health Clinic | $229 - $824 | 94% |
| Facey Medical Group | $229 - $824 | 94% |
| Axminster Medical Group | $229 - $824 | 94% |
| Altamed | $239 - $478 | 98% |
| La Care | $239 - $478 | 98% |
| Accarent Health | $239 | 98% |
| Pioneer Prov Ntwk | $239 | 98% |
| Citrus Valley Phys Grp | $239 - $650 | 98% |
| Staywell Insurance | $239 | 98% |
| Sansum Clinic | $239 | 98% |
| Mercy Care | $239 | 98% |
| Gemcare IPA | $239 - $918 | 98% |
| Managed Care Systems | $239 - $918 | 98% |
| Book Md | $249 - $1,857 | 102% |
| Applecare Medical Group | $253 - $545 | 104% |
| Good Samaritan Medical Group | $253 - $1,008 | 104% |
| Blue Shield | $258 - $478 | 106% |
| Caloptima | $260 - $478 | 107% |
| Intl - Global Medical Management | $263 | 108% |
| Premier Physicians Ntwk | $263 - $478 | 108% |
| Intl - Quality Health Management | $263 - $469 | 108% |
| Culinary Health Fund | $263 - $436 | 108% |
| Centinela Valley IPA | $263 - $478 | 108% |
| Community Care | $263 | 108% |
| Health Care La IPA | $263 - $478 | 108% |
| Aetna | $263 | 108% |
| Intl - Global Excel Management | $263 - $436 | 108% |
| National Healthcare Solutions | $263 | 108% |
| Global Care Medical Group | $263 - $478 | 108% |
| Choice Medical Group | $263 | 108% |
| Bella Vista Med Grp | $263 - $478 | 108% |
| Blue Cross Blue Shield | $279 - $1,318 | 114% |
| Access Medical Group | $282 - $836 | 116% |
| Seoul Medical Group | $282 - $922 | 116% |
| Alhambra Hospital Medical Center | $287 - $478 | 118% |
| Private Hlthcare System | $287 | 118% |
| Ventura County Health Plan | $287 - $1,022 | 118% |
| UnitedHealthcare | $287 - $478 | 118% |
| Self-Pay | $287 | 118% |
| Los Angeles Medical Center IPA | $287 - $478 | 118% |
| Delta Health Systems | $287 | 118% |
| Allied Pacific IPA | $287 - $478 | 118% |
| Preferred IPA - Commercial | $287 | 118% |
| Bright Medical Associates | $287 | 118% |
| Family Care Specialists | $287 - $478 | 118% |
| Sanus Health | $287 | 118% |
| Emanate Health Medical Center Commercial | $287 | 118% |
| Heritage Provider Network | $288 - $1,250 | 118% |
| Champus | $298 | 122% |
| Sierra Health and Life Insurance Company | $299 | 123% |
| Redlands Community Hospital | $311 | 128% |
| Cedar Sinai Med Grp | $311 | 128% |
| Intl - Erv Travel Services | $311 - $335 | 128% |
| Star Healthcare Network Commercial | $311 | 128% |
| Intl - Msh China Enterprise Services | $311 | 128% |
| Embassy - Saudi Arabia | $311 | 128% |
| Plotkin Health | $311 | 128% |
| Intl - Concierge Healthcare Services | $311 | 128% |
| Intl - Aixin Life Insurance Co | $311 - $469 | 128% |
| Seaside Health Plan | $311 - $478 | 128% |
| Lakewood Health Plan | $311 | 128% |
| Prime Health Services | $311 | 128% |
| Serra Community Med Clinic - Commercial | $311 | 128% |
| Marian Health Services | $311 | 128% |
| Axis Services International | $311 | 128% |
| Calvo Selectcare | $311 | 128% |
| Primecare Medical Network | $335 | 137% |
| Angeles IPA | $335 - $478 | 137% |
| Multiplan | $335 | 137% |
| Beaver Medical Group | $335 | 137% |
| Korean American Med Grp | $335 | 137% |
| Memorialcare Med Foundation | $335 | 137% |
| Prospect Medical Group | $358 | 147% |
| Associated Hispanic Physicians IPA | $358 - $478 | 147% |
| Hispanic Physician IPA | $358 - $478 | 147% |
| Interlink Health Services | $358 | 147% |
| Embassy - Kuwait | $358 | 147% |
| Self-Pay International | $382 | 157% |
| Embassy - All Others | $382 | 157% |
| St Francis Medical Center | $400 - $478 | 164% |
| Serra Community Med Clinic | $458 - $478 | 188% |
| Noble Community Medical Associates | $478 | 196% |
| Adventist Health Physicians | $478 - $552 | 196% |
| Community Family Care IPA | $478 | 196% |
| Family Health Alliance Med Grp | $478 | 196% |
| Beverly Hospital | $478 | 196% |
| Asian Community Medical Group | $478 | 196% |
| Healthy New Life Medical Corp | $478 | 196% |
| Preferred IPA | $478 | 196% |
| Southern Atlantic Medical Group Mmc | $478 - $622 | 196% |
| Accountable Health | $478 | 196% |
| Southland San Gabriel Valley Medical Group | $478 | 196% |
| California Pacific Physicians Medical Group | $478 | 196% |
| Karing Physicians Medical Group | $478 | 196% |
| San Judas Med Grp | $478 | 196% |
| Gold Coast Health Plan | $478 | 196% |
| Imperial Health Holdings Medical Group | $478 | 196% |
| Kern Family Health Plan | $478 | 196% |
| Souther California Hosp System - Mmc | $478 | 196% |
| Avalon IPA | $478 | 196% |
| El Proyecto Del Barrio | $478 | 196% |
| Point Comfort Underwriters | $478 | 196% |
| Hollywood Presbyterian Medical Center | $478 | 196% |
| Watts Healthcare Mmc | $478 | 196% |
| Community Care IPA Mmc | $478 | 196% |
| Superior Choice Medical Group | $478 | 196% |
| Primary Care and Pediatric IPA | $478 | 196% |
| Employee Health Systems Med Grp | $478 | 196% |
| Regent Medical Group | $478 | 196% |
| Crown City Medical Group | $478 | 196% |
| Pacific Alliance Medical Center | $478 | 196% |
| Serendib Healthways Mmc | $478 | 196% |
| White Memorial Medical Center | $478 | 196% |
| Exceptional Care Medical Group | $478 - $1,060 | 196% |
| Mabuhay Medical Group | $478 | 196% |
| Care 1St | $478 | 196% |
| Dignity Health | $478 | 196% |
| Valley Presbyterian Hospital | $478 | 196% |
| Choc Health Alliance | $478 | 196% |
| Cencal Health | $478 | 196% |
| Cal Care IPA | $478 | 196% |
| Cigna | $601 | 247% |
| Providence Health Network | $790 | 324% |