CMS Price Transparency Data

MRI, brain (no contrast)

Facility: University Hospital and Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $4,490
Cash Discount Price: $18,069
vs. Medicare Baseline: 18.42x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at University Hospital and Medical Center is $4,490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,069. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.42x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$18,069

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,490

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: $18,069 (7412%)

Insurance Median: $4,490 (1842%)

Cash: $18,069 (7412% of Medicare)

Ins. Median: $4,490 (1842% 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 1842% of the Medicare baseline (a markup of 1742%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United	$518 - $8,131	212%
Aetna	$1,060 - $5,421	435%
Avmed	$1,088 - $9,035	446%
Freedom Health	$1,554 - $2,891	637%
Optimum	$1,554	637%
Simply Healthcare Plans	$2,349	964%
Corvel Corporation	$2,694	1105%
Careworks (Rockport)	$2,750	1128%
Prime Health	$2,750	1128%
Molina	$3,433 - $4,879	1408%
Health Sun Health Plan	$3,849	1579%
Mmm Of Fl (Health Advantage Plan)	$4,156	1705%
United Ppo	$4,282	1757%
Sunshine State Health Plan	$4,770	1957%
Plotkin Health	$9,035	3706%
Prime Health Sherriff	$9,035	3706%
Medica Healthcare	$10,480	4299%
Multiplan	$13,552 - $15,359	5559%
Evernorth Bh	$14,455	5930%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $18,069.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.