CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Viera Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,715
Cash Discount Price: $854
vs. Medicare Baseline: 7.04x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Viera Hospital is $1,715. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $854. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.04x the Medicare baseline. Located in 8745 N Wickham Rd, Melbourne, FL.

Cash / Self-Pay

$854

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,715

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: $854 (350%)

Insurance Median: $1,715 (704%)

Cash: $854 (350% of Medicare)

Ins. Median: $1,715 (704% 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 704% of the Medicare baseline (a markup of 604%). 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
UnitedHealthcare	$111 - $3,416	46%
Health First Health Plan	$117 - $1,018	48%
Molina Healthcare	$153 - $3,826	63%
Humana	$156 - $3,416	64%
Aetna	$161 - $3,758	66%
Amerigroup	$161 - $3,416	66%
Sunshine Health Plan	$161 - $3,587	66%
Corizon Health	$249	102%
Florida Healthcare Plans	$1,079	443%
Cigna	$1,315 - $1,407	539%
Disney Cruise Line	$2,050	841%
Prime Heath Services, Inc.	$2,562	1051%
Multiplan	$2,733	1121%
Florida Blue	$4,221 - $4,411	1732%

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 $854.
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 Viera Hospital 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.