CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Adventist Health Tehachapi Valley

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $396
Cash Discount Price: $321
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Adventist Health Tehachapi Valley is $396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.62x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$396

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: $321 (132%)

Insurance Median: $396 (162%)

Cash: $321 (132% of Medicare)

Ins. Median: $396 (162% 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.

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
Cigna	$39 - $961	16%
Healthnet Mcare	$69 - $234	28%
Tricare	$69 - $234	28%
UnitedHealthcare	$69 - $603	28%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$69 - $234	28%
Ah Employee Health Plan - All Plans	$76 - $652	31%
Network Providers- All Plans	$76 - $299	31%
Oscar Health Plan- All Plans	$80 - $390	33%
Coventry- All Plans	$83 - $1,107	34%
Healthnet- All Other Plans	$101 - $947	41%
Western Grwrs/Pinnacle - All Plans	$103 - $517	42%
Centivo - All Plans	$104 - $526	43%
Blue Shield Epn- All Other Plans	$127 - $520	52%
Blue Shield Non-Epn	$134 - $615	55%
Aetna	$154 - $1,653	63%
Medi-Cal	$190 - $439	78%
Universal Ipa Mcal Op/Profee Only	$190 - $439	78%
Medicare (plans)	$226 - $234	93%
Kaiser Ip/Op Only- All Other Plans	$388 - $402	159%
Kaiser Medi-Cal Ip/Op Only	$439	180%
Bc Mcal	$452	185%
Healthnet Medi-Cal	$539	221%
Khs-Kern Hlth Systm Mcal	$566	232%
Klhp-Kern Legacy Epo -All Other Plans	$594 - $615	244%
Blue Cross Blue Shield	$617 - $710	253%

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 $321.
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 Adventist Health Tehachapi Valley 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.