CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Adventist Health Reedley

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $286
  • Cash Discount Price: $856
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Adventist Health Reedley is $286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $856. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.17x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$856

Average discount available for prompt cash payment at this facility.

Insurance Median
$286

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: $856 (351%)
Insurance Median: $286 (117%)
Cash: $856 (351% of Medicare)
Ins. Median: $286 (117% 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
Cigna $39 - $3,905 16%
Healthnet Medi-Cal $41 - $596 17%
Blue Shield Mcare $69 - $307 28%
Fhcn Pace Mcr Adv-All Plans $69 - $307 28%
Lasalle Med Assoc Profee Only - All Plans $69 28%
Tricare $69 - $307 28%
UnitedHealthcare $69 - $2,526 28%
Upn Mcr Adv Profee Only $69 28%
Ah Employee Health Plan - All Plans $76 - $552 31%
Community Care Ipa Mcal-All Plans $83 - $571 34%
Kaiser - All Other Plans $93 - $3,004 38%
Kaiser Mcr Adv $93 - $307 38%
Healthnet- All Other Plans $101 - $2,613 41%
Western Growers/Pinnacle- All Plans $103 - $2,764 42%
Blue Shield Epn - All Other Plans $121 - $2,656 50%
Blue Cross Blue Shield $130 - $2,071 53%
Blue Shield Non Epn $134 - $3,076 55%
Bc Mcal $190 - $295 78%
Cal Viva Hlth Mcal - All Plans $190 - $439 78%
Central Ca Alliance Mcal Profee Only $190 78%
Dignity Mcal Op/Profee Only-All Other Plans $190 - $483 78%
Medi-Cal $190 - $439 78%
Upn Mcal Profee Only-All Other Plans $190 78%
Physicians Med Group Op/Profee Only- All Plans $219 - $4,806 90%
Kern Health Systems Mcal-All Plans $238 - $439 98%
Central Ca Alliance Ccs Profee Only $274 112%
Central Ca Alliance Chdp Profee Only $274 112%
Central Ca Alliance Comm Profee Only - All Other P $274 112%
Dignity Mcr Adv Op/Profee Only $307 126%
Healthnet- Mcr Adv $307 126%
Phs Prime Health Srvcs $307 126%
Aetna $335 - $5,672 137%
Bright Health Mcr Adv - All Plans $482 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals