CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Tift Regional Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,713
Cash Discount Price: $2,073
vs. Medicare Baseline: 7.03x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Tift Regional Medical Center is $1,713. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,073. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.03x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$2,073

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,713

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: $2,073 (850%)

Insurance Median: $1,713 (703%)

Cash: $2,073 (850% of Medicare)

Ins. Median: $1,713 (703% 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 703% of the Medicare baseline (a markup of 603%). 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
Va Contract	$168	69%
Tricare	$174 - $224	71%
Peach State Health Plan	$203	83%
Hospice	$220	90%
Medicare (plans)	$220	90%
Blue Cross Blue Shield	$224 - $4,865	92%
UnitedHealthcare	$224 - $4,111	92%
Aetna	$225 - $4,203	92%
Clover Health	$225	92%
Wellcare	$225 - $954	92%
Humana	$235 - $2,432	96%
Pruitt Health Premier	$242	99%
Health One Alliance	$257 - $325	105%
Caresource Marketplace Exchange	$266 - $336	109%
Zelis Network Solutions	$301 - $448	123%
Ga Workers Comp	$599	246%
Amerigroup	$770 - $1,093	316%
Medicaid / KanCare	$770 - $1,093	316%
Peachstate	$809 - $1,148	332%
Caresource	$847 - $1,203	347%
Self Pay 50	$1,713 - $2,432	703%
Misc Commercial Insurance Plans	$3,083 - $4,378	1265%
Self Pay	$3,083 - $4,378	1265%
Cigna	$3,128 - $4,442	1283%
Misc Non Contracted Commercial Plans	$3,426 - $4,865	1405%

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 $2,073.
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 Tift Regional 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.