CMS Price Transparency Data
MRI, brain (no contrast)
Facility: Menifee Global Medical Center
Billing Code: 70551 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70551
- Insurance Median: $408
- Cash Discount Price: $4,432
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Menifee Global Medical Center is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,432. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.67x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$4,432
Average discount available for prompt cash payment at this facility.
Insurance Median
$408
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: $4,432 (1818%)
Insurance Median: $408 (167%)
Cash: $4,432 (1818% of Medicare)
Ins. Median: $408 (167% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $178 - $285 | 73% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $224 | 92% |
| Cigna | $277 - $3,546 | 114% |
| Health Net Enhanced Ppo | $293 - $428 | 120% |
| Aetna | $305 - $2,421 | 125% |
| Altamed Comm Hmo (Ancillary) | $305 - $4,432 | 125% |
| Altamed Health Services Senior | $305 | 125% |
| Altamed Sr/Pace | $305 | 125% |
| Blue Shield Senior | $305 | 125% |
| Central Health Plan Senior | $305 | 125% |
| Clever Care Health Plan Sr | $305 | 125% |
| For Your Benefit Senior | $305 | 125% |
| Guidant Health Plan Senior | $305 | 125% |
| Health Net Senior | $305 | 125% |
| Hpn Senior | $305 | 125% |
| Humana | $305 | 125% |
| Ic | $305 - $4,432 | 125% |
| Kaiser Senior | $305 | 125% |
| Lasalle Medical Assoc (Ancillary) Senior | $305 | 125% |
| Managed Health Network Sr | $305 | 125% |
| Medicare (plans) | $305 | 125% |
| Neighborhood Healthcare Pace | $305 | 125% |
| Primecare Senior | $305 | 125% |
| Prospect Health Plan Sr Hmo | $305 | 125% |
| Scan Senior | $305 | 125% |
| Sr Capitation | $305 | 125% |
| UnitedHealthcare | $305 - $368 | 125% |
| Veterans Administration | $305 | 125% |
| Imperial Health Plan Of Ca | $307 | 126% |
| Lasalle Medical Assoc (Ancillary) Commercial | $307 | 126% |
| Point Comfort Underwriters | $307 | 126% |
| Self Pay/Ab774/Charity Discount | $307 | 126% |
| Molina Covered Ca | $335 | 137% |
| Align Senior Care | $342 | 140% |
| Welbehealth Sr/Pace | $342 | 140% |
| Prime Health Services Senior | $351 | 144% |
| Coventry | $367 - $382 | 151% |
| Prime Health Services Wcomp | $367 | 151% |
| Iehp Covered Ca | $382 | 157% |
| Three Rivers Wcomp | $400 | 164% |
| Workers Comp Non-Contracted | $408 | 167% |
| Prospect Health Plan Comm Hmo | $412 | 169% |
| Hpn Commercial/Covered Ca | $428 | 176% |
| Health Net Comm | $458 | 188% |
| Three Rivers Network | $537 | 220% |
| Velocity | $537 - $1,994 | 220% |
| Health Net Medi-Cal | $731 | 300% |
| Hpn Mcal | $731 | 300% |
| Kaiser Medi-Cal | $731 | 300% |
| Prospect Health Plan Mcal Hmo | $753 | 309% |
| Blue Cross Blue Shield | $768 | 315% |
| Primecare Commercial | $845 | 347% |
| Blue Shield Epn | $858 | 352% |
| Molina Medi-Cal | $863 | 354% |
| Blue Shield Commercial | $1,011 | 415% |
| Altamed Mcal Hmo | $1,024 | 420% |
| Altamed Mcal/Pace | $1,024 | 420% |
| Choice Physicians Network | $1,024 | 420% |
| Iehp Medi-Cal | $1,097 | 450% |
| First Health Commercial | $2,327 | 955% |
| Multiplan Ppo | $3,102 | 1273% |
| Multiplan Wcomp | $3,102 | 1273% |
| Pnoa-Provider Network Of America | $3,546 | 1455% |
| Prime Health Services Commercial | $3,546 | 1455% |
| Ava Hospice | $4,432 | 1818% |
| Kaiser Commercial | $4,432 | 1818% |
| Living Waters Hospice | $4,432 | 1818% |
| Managed Health Network | $4,432 | 1818% |
| Other Insurance Loa | $4,432 | 1818% |
| Pacific Valley Hospice | $4,432 | 1818% |
| Private Pay | $4,432 | 1818% |
| Silverado Hospice | $4,432 | 1818% |
| Vna Hospice | $4,432 | 1818% |