CMS Price Transparency Data

MRI, brain (no contrast)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $355
  • Cash Discount Price: $6,885
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at UCSF Health St. Mary's Hospital is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,885. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.46x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$6,885

Average discount available for prompt cash payment at this facility.

Insurance Median
$355

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: $6,885 (2824%)
Insurance Median: $355 (146%)
Cash: $6,885 (2824% of Medicare)
Ins. Median: $355 (146% 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
Sfhp $266 109%
California Health & Wellness $273 112%
Health Plan San Mateo $273 - $355 112%
Kaiser $273 - $5,233 112%
Partnership Health Plan $273 112%
Brown Toland $278 - $355 114%
Aetna $355 - $2,181 146%
Blue Cross Blue Shield $355 - $9,258 146%
Blue Shield Ca $355 146%
Chinese Community $355 - $4,475 146%
Connected Care $355 146%
Health Net $355 - $399 146%
Humana $355 146%
Mhn $355 146%
United $355 - $518 146%
Kentfield $1,029 422%
Oscar $1,164 477%
Magellan $4,131 1695%
Cigna $4,640 - $4,935 1903%
Healthsmart $4,820 1977%
Multiplan $5,715 2344%
Us Behavioral Health $6,885 2824%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals