CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Memorial Hospital and Manor

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,043
Cash Discount Price: $1,105
vs. Medicare Baseline: 4.28x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Memorial Hospital and Manor is $1,043. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,105. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.28x the Medicare baseline. Located in 1500 E Shotwell Street, Bainbridge, GA.

Cash / Self-Pay

$1,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,043

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: $1,105 (453%)

Insurance Median: $1,043 (428%)

Cash: $1,105 (453% of Medicare)

Ins. Median: $1,043 (428% 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 428% of the Medicare baseline (a markup of 328%). 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
Tricare	$191	78%
Aetna	$205 - $1,420	84%
Humana	$205 - $1,262	84%
Medicare (plans)	$205	84%
Wellcare_Plan	$205	84%
Ambetter / Centene	$266	109%
Alliant_Plan	$328	135%
Tnga_Plan	$450	185%
Amerigroup_Plan	$994	408%
Medicaid / KanCare	$994	408%
Peach_State_Health_Plan_Plan	$994	408%
Caresource_Plan	$1,043	428%
Blue Cross Blue Shield	$1,219	500%
Uhc_Plan	$1,247	512%
Novanet_Plan	$1,262	518%
Cigna	$1,310	537%
Private_Healthcare_Systems_Plan	$1,341	550%
Multiplan_Plan	$1,420	583%
Corvel_Plan	$1,499	615%

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 $1,105.
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 Memorial Hospital and Manor 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.