CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Loma Linda University Children's Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,230
Cash Discount Price: $2,524
vs. Medicare Baseline: 5.05x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Loma Linda University Children's Hospital is $1,230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,524. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.05x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$2,524

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,230

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: $2,524 (1035%)

Insurance Median: $1,230 (505%)

Cash: $2,524 (1035% of Medicare)

Ins. Median: $1,230 (505% 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 505% of the Medicare baseline (a markup of 405%). 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
Alpha Care Medical Group	$307 - $461	126%
Dignity Health	$307 - $461	126%
Epic Health Plan	$307 - $2,437	126%
Inland Empire Health Plan (Iehp)	$307 - $319	126%
Kaiser Foundation Hospitals	$307 - $4,063	126%
Upland Medical Group	$307	126%
Vantage Medical Group	$307 - $461	126%
Molina Healthcare Of Ca	$387 - $412	159%
Heritage Provider Network	$504	207%
UnitedHealthcare	$866	355%
Adventist Health	$1,025 - $1,218	420%
Lluh Dept Of Risk Management	$1,230 - $1,462	505%
Blue Shield Of California	$2,071 - $3,137	850%
Global Benefits Group	$3,076 - $3,655	1262%
Temecula Valley Physicians Medical Group	$3,076	1262%
Trivalley Medical Group	$3,076	1262%
Blue Cross Blue Shield	$3,148	1291%
Cigna	$3,281 - $3,793	1346%
Networks By Design	$3,332 - $3,960	1367%
Aetna	$3,443	1412%
Multiplan	$4,101 - $4,874	1682%
Galaxy Health	$4,357 - $5,178	1787%
Prime Health Services	$4,357 - $5,178	1787%

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 $2,524.
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 Loma Linda University Children's 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.