CMS Price Transparency Data

MRI, brain (no contrast)

Facility: North Shore Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $254
  • Cash Discount Price: $8,466
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at North Shore Medical Center is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,466. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$8,466

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $8,466 (3473%)
Insurance Median: $254 (104%)
Cash: $8,466 (3473% of Medicare)
Ins. Median: $254 (104% 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
Humana $133 - $468 55%
Medicaid / KanCare $154 - $8,466 63%
UnitedHealthcare $156 - $234 64%
Veterans Administration Mill Bill $164 67%
Avmed Broad Network $174 71%
Aetna $189 - $6,096 78%
Dimension Health Wc $199 82%
Workers Compensation $199 82%
Healthsun Health Plans $208 - $246 85%
Medicare (plans) $211 - $8,466 87%
Imagine Health $231 95%
Leon Health Inc $233 96%
Devoted Health $234 96%
Tricare $235 96%
Employer Direct Healthcare $238 - $252 98%
Hospice Other $238 98%
Veterans Administration Vaccn $238 98%
Cigna $246 - $4,233 101%
Self Pay/Uninsured $248 - $292 102%
Longevity Health Plan $250 103%
Florida Pace Centers $281 115%
Bright Health Management Commercial $285 117%
Oscar Health Plan Hix $291 119%
Centurion Prison $292 120%
Avmed Exchange $416 171%
Ambetter / Centene $440 180%
Molina Marketplace Program Exchange $453 186%
Auto Insurance $476 195%
Avmed Select Network $487 200%
Amerihealth Caritas Next Exchange $511 210%
Bc/Bs Of Fl Health Options Hmo $665 273%
Bc/Bs Of Fl Network Blue $674 276%
Bc/Bs Myblue Hmo Hix $684 281%
Bc/Bs Of Fl Simplyblue $720 295%
Bc/Bs Of Fl Ppo $727 298%
Bc/Bs Of Fl Blue Select Exchange Non Par $742 304%
Bc/Bs Of Fl Phs $4,389 1800%
Magellan Behavioral Health $5,080 2084%
Dimensions International $5,503 2257%
First Health $5,757 2362%
Dimension Health Ppo $6,350 2605%
Beacon Health Strategies Commercial $8,466 3473%
Commercial Non-Contracted $8,466 3473%
Self Pay - Mcd Pending 100 Percent $8,466 3473%
Single Case Agreement $8,466 3473%
United Behavioral Health Psych $8,466 3473%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals