MRI, brain (no contrast)
Facility: Johnson Memorial Hospital
Billing Code: 70551 (CPT)
- CPT Billing Code: 70551
- Insurance Median: $742
- Cash Discount Price: $1,135
- vs. Medicare Baseline: 3.04x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 304% of the Medicare baseline (a markup of 204%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticut Dept of Correction | $264 | 108% |
| Aetna | $280 - $430 | 115% |
| Blue Cross Blue Shield | $280 - $742 | 115% |
| UnitedHealthcare | $280 - $2,063 | 115% |
| Medicare (plans) | $280 - $295 | 115% |
| Cca Senior Care Options | $286 | 117% |
| Cigna | $289 - $1,609 | 119% |
| Fallon Health | $372 | 153% |
| Harvard Pilgrim Healthcare | $373 | 153% |
| Geha | $373 | 153% |
| Gravie Admin Services | $430 | 176% |
| Webtpa | $430 | 176% |
| Hap | $430 | 176% |
| Meritain | $430 | 176% |
| Allied Benefit Systems | $430 | 176% |
| 1199 National Benefit Fund | $430 | 176% |
| Nippon Life Ins | $430 | 176% |
| Luminare Health | $430 | 176% |
| Claimdoc | $601 | 247% |
| Innovative Health Plan II | $601 | 247% |
| Diversified Administrators | $601 | 247% |
| Centivo | $666 | 273% |
| Allegiance | $715 | 293% |
| Magnacare | $715 | 293% |
| Health Partners | $715 | 293% |
| Kaiser Domestic | $742 | 304% |
| Unicare | $742 | 304% |
| Wc Domestic | $742 | 304% |
| Blue Shield - Ny Highmark Northeastern | $742 | 304% |
| Blue Shield - Ca | $742 | 304% |
| Blue Shield - Wa (Regence) | $742 | 304% |
| Blue Care Network | $742 | 304% |
| Blue Shield - Id (Regence) | $742 | 304% |
| Wellpoint | $742 | 304% |
| Pre-Employment | $742 | 304% |
| Blue Shield - PA (Highmark) | $742 | 304% |
| Blue Shield - Ny Highmark Western | $742 | 304% |
| Blue Benefit Administrators of Massachusetts | $742 | 304% |
| Bcn Domestic | $742 | 304% |
| Blue Distinction Transplant | $742 | 304% |
| Health Choices | $742 | 304% |
| Connecticare | $922 - $1,153 | 378% |
| Health New England | $1,341 | 550% |
| Prime Health Services | $1,650 | 677% |
| PHCS | $1,712 | 702% |
| Allied National Global Care | $1,712 | 702% |
| Lifetime Benefit Solutions | $1,712 | 702% |
| Pan-American Life | $1,712 | 702% |
| Dean Health | $1,712 | 702% |
| Multiplan | $1,712 | 702% |
| Asrm - Reliance Standard Life Insurance | $1,712 | 702% |
| Family Life Insurance Company | $1,712 | 702% |
| Medi Share | $1,712 | 702% |
| Trinity Health Share | $1,712 | 702% |
| Manhattan Life | $1,712 | 702% |
| Ghc Scw | $1,712 | 702% |
| Mvp | $1,712 | 702% |
| Paramount HMO | $1,712 | 702% |
| Christian Care Ministry | $1,712 | 702% |
| Pai | $1,712 | 702% |
| International Benefit Administrators | $1,712 | 702% |
| Health Smart | $1,754 | 720% |
| United Behavioral Health Eap | $2,063 | 846% |