CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Adventist Health Delano

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,318
  • Cash Discount Price: $492
  • vs. Medicare Baseline: 5.41x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Adventist Health Delano is $1,318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $492. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.41x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$492

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,318

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: $492 (202%)
Insurance Median: $1,318 (541%)
Cash: $492 (202% of Medicare)
Ins. Median: $1,318 (541% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 541% of the Medicare baseline (a markup of 441%). 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.

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
Blue Cross Blue Shield $256 - $2,340 105%
Bakersfield Fam Med Grp-All Plans $307 126%
Healthnet Mcr Adv $307 126%
Kern Mcr Adv Dual Dnsp-All Other Plans $307 126%
Medicare (plans) $307 - $491 126%
Tricare $307 126%
UnitedHealthcare $307 - $2,024 126%
Universal Care Mcr- All Other Plans $307 126%
Dignty Hlth Com/Mcr Op Only - All Other Plans $350 144%
Dignty Hlth Mcal Op Only $350 144%
Kaiser Medi-Cal Ip/Op Only $439 180%
Medi-Cal $439 180%
Universal Care Mcal $439 180%
Blue Shield Epn - All Other Plans $462 - $616 190%
Healthnet Medi-Cal $523 215%
Kaiser Comm Ip/Op Only- All Other Plans $528 217%
Ah Employee Health Plan - All Plans $552 226%
Kern Health System Mcal $566 232%
Centivo - All Plans $690 283%
Healthnet- All Other Plans $1,160 - $1,489 476%
Coventry- All Plans $1,265 - $1,687 519%
Blue Shield Non-Epn $1,371 - $1,828 562%
County Of Kern Network - All Plans $1,476 - $1,968 605%
Gem Care- All Plans $1,476 - $1,968 605%
Foundation For Medical Care Of Kern County - All P $1,582 - $2,109 649%
Aetna $1,649 676%
Cigna $1,687 - $2,250 692%
Western Growers - All Plans $1,708 - $2,278 701%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals