CMS Price Transparency Data

MRI, brain (no contrast)

Facility: West Kendall Baptist Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $274
  • Cash Discount Price: $3,469
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at West Kendall Baptist Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,469. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.12x the Medicare baseline. Located in 9555 Sw 162 Ave, Miami, FL.
Cash / Self-Pay
$3,469

Average discount available for prompt cash payment at this facility.

Insurance Median
$274

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: $3,469 (1423%)
Insurance Median: $274 (112%)
Cash: $3,469 (1423% of Medicare)
Ins. Median: $274 (112% 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
Amerigroup $74 - $147 30%
Medicaid / KanCare $74 - $162 30%
UnitedHealthcare $77 - $5,337 32%
Wellcare $77 - $155 32%
Sunshine State $78 - $156 32%
Aetna $80 - $4,270 33%
Vista $80 - $159 33%
Medicare (plans) $125 - $336 51%
Blue Cross Blue Shield $129 - $3,458 53%
Medica Health Plan $133 - $267 55%
Humana $136 - $272 56%
Avmed $137 - $2,599 56%
Leon Medical $140 - $279 57%
Cigna $142 - $4,270 58%
Non Contracted $1,959 804%
Amerihealth $2,402 985%
International $3,469 1423%
Dimension Health Plan $4,003 - $4,803 1642%
Affordable $4,803 1970%
Phcs $4,803 1970%
Quality Health $4,803 1970%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9555 Sw 162 Ave, Miami, FL 33196
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals