CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Grady Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $241
  • Cash Discount Price: $5,561
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Grady Memorial Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,561. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.99x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.
Cash / Self-Pay
$5,561

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $5,561 (2281%)
Insurance Median: $241 (99%)
Cash: $5,561 (2281% of Medicare)
Ins. Median: $241 (99% 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 $66 - $904 27%
Caresource $66 - $830 27%
Peach State $66 - $830 27%
Aetna $68 - $2,475 28%
Ambetter / Centene $68 - $823 28%
Blue Cross Blue Shield $68 - $4,449 28%
Cigna $68 - $3,289 28%
Humana $68 - $240 28%
Kaiser $68 - $4,215 28%
Medicare (plans) $68 - $240 28%
UnitedHealthcare $68 - $4,004 28%
Vaccn $68 - $240 28%
Wellcare $68 - $240 28%
Clear Spring Health $71 - $253 29%
Clover $71 - $253 29%
Usp Naphcare $74 - $3,337 30%
Oscar Health $96 - $3,615 39%
Multiplan $4,282 1757%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals