CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mayers Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $780
Cash Discount Price: $691
vs. Medicare Baseline: 3.20x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mayers Memorial Hospital is $780. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $691. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.20x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$691

Average discount available for prompt cash payment at this facility.

Insurance Median

$780

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: $691 (283%)

Insurance Median: $780 (320%)

Cash: $691 (283% of Medicare)

Ins. Median: $780 (320% 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 320% of the Medicare baseline (a markup of 220%). 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
Blue Shield Ca Va	$66 - $734	27%
Blue Shield Mcr Adv	$66 - $734	27%
Tricare	$66 - $773	27%
Health Net Mcr Adv	$69 - $773	28%
Arcadian Health Services-All Plans	$72 - $773	30%
Imperial Health Plan-All Plans	$78 - $873	32%
Medi-Cal	$190 - $439	78%
Cigna	$200 - $1,112	82%
Corvel Ppo-All Plans	$200 - $1,112	82%
Coventry/First Health-All Plans	$200 - $1,112	82%
Integrated Hp-All Plans	$200 - $1,112	82%
Interplan-All Plans	$200 - $1,112	82%
Blue Cross Blue Shield	$780 - $1,001	320%
Health Net Prison	$842	345%
Blue Shield Ca Exchange	$1,001	411%
Blue Shield-All Other Plans	$1,112	456%
Hmn-All Plans	$1,112	456%
Multiplan Phcs-All Plans	$1,112	456%
Pfmc-All Plans	$1,112	456%
Superior Ca-All Plans	$1,112	456%
Health Net-All Other Plans	$1,165	478%
Pacificare-All Plans	$1,170	480%
Partnership Hp-All Plans	$1,170	480%

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 $691.
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 Mayers Memorial 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.