CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lower Keys Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $476
  • Cash Discount Price: $2,210
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lower Keys Medical Center is $476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,210. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.95x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$2,210

Average discount available for prompt cash payment at this facility.

Insurance Median
$476

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: $2,210 (907%)
Insurance Median: $476 (195%)
Cash: $2,210 (907% of Medicare)
Ins. Median: $476 (195% 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
UnitedHealthcare $62 - $5,483 25%
Veterans Eval Services $228 94%
Florida Childrens Medical Services $234 96%
Medicaid / KanCare $234 - $257 96%
South Florida Community Care Network $234 96%
Humana $241 - $263 99%
Tricare $254 104%
Amerigroup $257 105%
Positive Healthcare $257 105%
Simply Healthcare $257 - $2,210 105%
Wellcare $257 105%
Wellcare Healthease $257 105%
Blue Cross Blue Shield $263 - $6,349 108%
Medicare (plans) $263 108%
Ultimate Health $263 108%
Molina $264 108%
Node Champva $267 110%
Node Non Par Hospice Agree $267 110%
Node United Behavioral Va Ccn $267 110%
Node Va $267 110%
Prestige Health Choice $271 111%
Magellan $280 115%
Correct Care Solutions $294 121%
Node Us Dept Of Labor $334 137%
Prime Health Work Comp Fl $406 167%
Fl Work Comp $419 172%
Heritage Summit Work Comp Fl $419 172%
State Auto Insurance Fl $534 219%
Self Pay $1,925 - $2,495 790%
Cigna $4,206 1725%
Aetna $4,976 2041%
Monroe County $5,347 2193%
Evolutions Healthcare Systems $5,704 - $6,773 2340%
Keys Energy $5,704 2340%
Prime Health Ppo $5,704 2340%
Avmed Health Plan $6,060 2486%
Direct Healthcare $7,130 2925%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals