CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $243
  • Cash Discount Price: $822
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Cleveland Clinic Indian River Hospital is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $822. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.
Cash / Self-Pay
$822

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

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: $822 (337%)
Insurance Median: $243 (100%)
Cash: $822 (337% of Medicare)
Ins. Median: $243 (100% 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
Blue Cross Blue Shield $65 - $1,506 27%
Avmed $69 - $556 28%
Careplus $69 - $243 28%
Magellan $69 - $1,135 28%
United $69 - $243 28%
Value Options $69 28%
Wellcare $69 - $243 28%
Freedom Health $72 - $243 30%
Independent Living Systems $72 - $255 30%
Wellmed $72 - $243 30%
Clear Spring Health $75 - $280 31%
Cigna $82 - $568 34%
Aetna $83 - $1,622 34%
Carelon Bh Strategies $243 100%
Humana $243 100%
Devoted Health $267 110%
Clarity Health $414 - $1,230 170%
The Legacy Companies $414 - $1,230 170%
National Provider Network $446 183%
Three Rivers $446 183%
Consociate Health $478 196%
Bmi $1,041 427%
Multiplan $1,514 621%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 36Th St, Vero Beach, FL 32960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals