CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Baptist Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $716
  • Cash Discount Price: $716
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Baptist Hospital is $716. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $716. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.94x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$716

Average discount available for prompt cash payment at this facility.

Insurance Median
$716

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: $716 (294%)
Insurance Median: $716 (294%)
Cash: $716 (294% of Medicare)
Ins. Median: $716 (294% 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 294% of the Medicare baseline (a markup of 194%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $154 - $3,485 63%
Cha Health Plan $154 63%
UnitedHealthcare $154 - $2,235 63%
Humana $162 - $247 66%
Mh Sunshine Mcaid $162 66%
Staywell $162 66%
Sunshine Health $162 66%
Fl Community Care Ltc $165 68%
Simply Healthcare Healthy Kids $177 73%
Hospice Covenant $243 100%
Medicare (plans) $243 100%
Healthspring Of Fl Al $250 103%
Mh Wellcare $255 105%
Wellcare $255 105%
Fl Blue $364 - $2,164 149%
Uwf Athletes $650 - $3,103 267%
Pensacola $716 294%
Hospice Regency $1,432 587%
Bc Fl $1,559 640%
Wc Corvel $2,205 - $4,535 905%
Cigna $2,268 - $4,774 930%
Hospice Emerald Coast $2,387 979%
Escambia $2,864 1175%
Private Healthcare $3,103 1273%
First Health $3,318 1361%
Choicecare $3,580 1469%
Mh Choicecare $3,580 1469%
Multiplan $4,249 1743%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals