CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Medical Center Enterprise

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $305
  • Cash Discount Price: $2,506
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Medical Center Enterprise is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,506. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.25x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$2,506

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $2,506 (1028%)
Insurance Median: $305 (125%)
Cash: $2,506 (1028% of Medicare)
Ins. Median: $305 (125% 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
Medicaid / KanCare $152 - $305 62%
Tricare $195 80%
Blue Cross Blue Shield $202 - $336 83%
Humana $202 83%
Medicare (plans) $202 83%
UnitedHealthcare $202 - $466 83%
Select Health $204 84%
Covenant Hospice $206 85%
Dayspring Hospice $206 85%
Healthspring $206 85%
Node Champva $206 85%
Node Devoted Health Mcr Adv $206 85%
Node Hospice Non Par $206 85%
Node Va $206 85%
Southerncare Hospice $206 85%
Aetna $208 - $8,996 85%
Node Clover Mcr Adv $208 85%
Node Wellcare Mcr Adv $210 86%
Veterans Eval Services $210 86%
Eon Health $212 87%
Wiregrass Hospice $218 89%
Al Maternity Waiver Program $231 95%
Node Us Dept Of Labor $257 105%
Ambetter / Centene $308 126%
Cigna $346 - $2,183 142%
Occunet $675 277%
Self Pay $1,157 - $3,855 475%
American Employee Alliance $5,140 2109%
Alamed $7,711 3163%
Affordable Health $8,996 3690%
Health Choice $8,996 3690%
Novanet Ppo $8,996 3690%
Coventry Work Comp Al $9,458 3880%
Multiplan $9,510 - $10,152 3901%
Wc Dept Ind Relations $10,281 4218%
Corvel $10,923 4481%
Galaxy Health $11,566 4745%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals