CMS Price Transparency Data
MRI, brain (no contrast)
Facility: St Francis Hospital & Medical Center
Billing Code: 70551 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70551
- Insurance Median: $436
- Cash Discount Price: $1,461
- vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at St Francis Hospital & Medical Center is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,461. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.79x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$1,461
Average discount available for prompt cash payment at this facility.
Insurance Median
$436
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: $1,461 (599%)
Insurance Median: $436 (179%)
Cash: $1,461 (599% of Medicare)
Ins. Median: $436 (179% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $63 - $333 | 26% |
| 1199 National Benefit Fund | $78 - $333 | 32% |
| Allied Benefit Systems | $78 - $333 | 32% |
| Gravie Admin Services | $78 - $333 | 32% |
| Hap | $78 - $333 | 32% |
| Luminare Health | $78 - $333 | 32% |
| Meritain | $78 - $333 | 32% |
| Nippon Life Ins | $78 - $333 | 32% |
| Webtpa | $78 - $333 | 32% |
| Connecticare | $99 - $597 | 41% |
| Connecticut Dept of Correction | $116 - $264 | 48% |
| Blue Cross Blue Shield | $123 - $994 | 50% |
| Medicare (plans) | $123 - $295 | 50% |
| Cca Senior Care Options | $125 - $286 | 51% |
| UnitedHealthcare | $125 - $373 | 51% |
| Cigna | $127 - $2,125 | 52% |
| Fallon Health | $163 - $372 | 67% |
| Geha | $179 - $373 | 73% |
| Harvard Pilgrim Healthcare | $179 - $373 | 73% |
| Innovative Health Plan II | $263 - $601 | 108% |
| Bcn Domestic | $436 - $994 | 179% |
| Blue Benefit Administrators of Massachusetts | $436 - $994 | 179% |
| Blue Care Network | $436 - $994 | 179% |
| Blue Distinction Transplant | $436 - $994 | 179% |
| Blue Shield - Ca | $436 - $994 | 179% |
| Blue Shield - Id (Regence) | $436 - $994 | 179% |
| Blue Shield - Ny Highmark Northeastern | $436 - $994 | 179% |
| Blue Shield - Ny Highmark Western | $436 - $994 | 179% |
| Blue Shield - PA (Highmark) | $436 - $994 | 179% |
| Blue Shield - Wa (Regence) | $436 - $994 | 179% |
| Health Choices | $436 - $994 | 179% |
| Kaiser Domestic | $436 - $994 | 179% |
| Pre-Employment | $436 - $994 | 179% |
| Unicare | $436 - $994 | 179% |
| Wc Domestic | $436 - $994 | 179% |
| Wellpoint | $436 - $994 | 179% |
| Allegiance | $480 - $832 | 197% |
| Health Partners | $480 - $832 | 197% |
| Magnacare | $480 - $832 | 197% |
| Centivo | $572 | 235% |
| Health New England | $1,465 | 601% |
| Allied National Global Care | $1,806 | 741% |
| Asrm - Reliance Standard Life Insurance | $1,806 | 741% |
| Christian Care Ministry | $1,806 | 741% |
| Dean Health | $1,806 | 741% |
| Family Life Insurance Company | $1,806 | 741% |
| Ghc Scw | $1,806 | 741% |
| International Benefit Administrators | $1,806 | 741% |
| Lifetime Benefit Solutions | $1,806 | 741% |
| Manhattan Life | $1,806 | 741% |
| Medi Share | $1,806 | 741% |
| Multiplan | $1,806 | 741% |
| Mvp | $1,806 | 741% |
| PHCS | $1,806 | 741% |
| Pai | $1,806 | 741% |
| Pan-American Life | $1,806 | 741% |
| Paramount HMO | $1,806 | 741% |
| Trinity Health Share | $1,806 | 741% |
| Prime Health Services | $1,859 | 763% |
| Health Smart | $2,258 | 926% |