CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,530
Cash Discount Price: $2,893
vs. Medicare Baseline: 10.38x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Southwest Healthcare Rancho Springs Hospital is $2,530. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,893. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.38x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$2,893

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,530

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: $2,893 (1187%)

Insurance Median: $2,530 (1038%)

Cash: $2,893 (1187% of Medicare)

Ins. Median: $2,530 (1038% 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 1038% of the Medicare baseline (a markup of 938%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health_Net	$137 - $2,775	56%
Kaiser	$180 - $2,410	74%
United_Healthcare	$188 - $376	77%
Heritage	$205 - $3,106	84%
Iehp	$243	100%
Blue Cross Blue Shield	$563 - $5,865	231%
Aetna	$1,682	690%
Cigna	$2,279 - $2,913	935%
Primecare	$2,530 - $3,235	1038%
Palomar	$2,984 - $3,814	1224%
Rady_Children'S_Hospital	$4,444 - $5,680	1823%
Multiplan	$5,713 - $7,304	2344%
Sharp_Health_Plan	$5,713 - $7,304	2344%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,893.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southwest Healthcare Rancho Springs Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.