CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sherman Oaks Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $305
  • Cash Discount Price: $305
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Sherman Oaks Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.25x the Medicare baseline. Located in 4929 Van Nuys Blvd, Sherman Oaks, CA.
Cash / Self-Pay
$305

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $305 (125%)
Insurance Median: $305 (125%)
Cash: $305 (125% of Medicare)
Ins. Median: $305 (125% 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
Aids Healthcare Foundation $188 - $311 77%
Blue Shield Of Promise $188 77%
Health Net Of Ca $188 - $446 77%
L.A Care Health Plan $188 - $305 77%
Molina $188 - $305 77%
Traditional Medi-Cal $188 77%
Alignment $305 125%
Blue Shield Of Ca, Va $305 125%
Elite Health Plan $305 125%
Imperial Health Plan $305 125%
Managed Health Network $305 125%
Medicare (plans) $305 125%
Renal Payer Solutions $305 125%
Tricare $305 125%
Usa Senior Care Network $305 125%
Brand New Day $308 - $458 126%
Corvel $348 143%
Zelis Healthcare $348 143%
Americas Choice Provider Network $355 146%
Multiplan $355 146%
Prime Health Services $355 146%
Three Rivers $355 146%
Healthsmart Preferred Network $359 147%
Provider Select $363 149%
Provider Network Of America $366 150%
Aetna $390 160%
Ca Foundation For Medical Center $402 165%
Worker Comp $402 165%
Employer Direct Healthcare $428 176%
Naphcare $473 194%
Blue Cross Blue Shield $768 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals