CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Banner Estrella Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $371
  • Cash Discount Price: $431
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Banner Estrella Medical Center is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $431. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.52x the Medicare baseline. Located in 9201 West Thomas Road, Phoenix, AZ.
Cash / Self-Pay
$431

Average discount available for prompt cash payment at this facility.

Insurance Median
$371

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: $431 (177%)
Insurance Median: $371 (152%)
Cash: $431 (177% of Medicare)
Ins. Median: $371 (152% 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
Arizona Physicians Ipa $167 - $258 69%
Banner University Health Plan $167 - $258 69%
Health Choice Arizona, Inc. $167 - $386 69%
Health Net $167 - $381 69%
Mercy Care $167 - $258 69%
Aetna $258 - $1,277 106%
Banner Health $258 106%
Blue Cross Blue Shield $258 - $941 106%
Care 1St $258 106%
Cigna $258 - $1,496 106%
Gila River Health Care Corporation $258 106%
Humana $258 - $265 106%
Kaiser Foundation Health Plan $258 106%
Triwest Healthcare Alliance Corp - Va Ccn $258 106%
UnitedHealthcare $258 - $1,165 106%
Upmc Health Plan $258 106%
Wellpoint $258 106%
Carelon $271 111%
Devoted Health Services $271 111%
Arizona Priority Care $283 116%
Gold Kidney Health Plan $283 116%
Naphcare $348 143%
Oscar Health Plan $425 174%
Hospice Of The Valley $848 348%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $1,091 448%
Plotkin Health $1,091 448%
Quiktrip Corporation $1,309 537%
Arizona Medical Network $1,697 696%
Provider Network Of America $1,818 746%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9201 West Thomas Road, Phoenix, AZ 85037
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals