CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $240
Cash Discount Price: $2,294
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Atrium Health Navicent the Medical Center is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,294. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$2,294

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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: $2,294 (941%)

Insurance Median: $240 (98%)

Cash: $2,294 (941% of Medicare)

Ins. Median: $240 (98% 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.

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
Aetna	$66 - $3,166	27%
Blue Cross Blue Shield	$66 - $394	27%
Georgia Health Advantage	$66 - $236	27%
Humana	$66 - $3,152	27%
UnitedHealthcare	$66 - $2,606	27%
Care Source	$67 - $240	27%
Clover	$67 - $240	27%
Eon Health	$67 - $240	27%
Pruitt Health	$69 - $236	28%
Alliant	$79 - $283	32%
Ambetter / Centene	$89 - $2,340	37%
Securehealth	$187 - $1,606	77%
Cigna	$224 - $893	92%
Kaiser	$300 - $2,982	123%
Multiplan	$2,982 - $3,670	1223%
Ibg	$3,244	1331%
Novanet	$3,670	1506%
Three Rivers Provider Network	$3,900	1600%
Beechstreet	$4,267	1750%

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 $2,294.
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 Atrium Health Navicent the 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.