CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Navicent Health Baldwin

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $355
Cash Discount Price: $1,669
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Navicent Health Baldwin is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,669. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$1,669

Average discount available for prompt cash payment at this facility.

Insurance Median

$355

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $1,669 (468%)

Insurance Median: $355 (100%)

Cash: $1,669 (468% of Medicare)

Ins. Median: $355 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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	$102 - $2,771	29%
Blue Cross Blue Shield	$102 - $2,504	29%
Georgia Health Advantage	$102 - $348	29%
Humana	$102 - $2,837	29%
UnitedHealthcare	$102 - $3,284	29%
Care Source	$104 - $355	29%
Clover	$104 - $355	29%
Eon Health	$104 - $355	29%
Pruitt Health	$107 - $348	30%
Alliant	$123 - $580	35%
Ambetter / Centene	$138 - $1,702	39%
Cigna	$357 - $2,570	100%
Securehealth	$453 - $2,135	127%
Multiplan	$2,170 - $2,670	609%
Novanet	$2,670	749%
Three Rivers Provider Network	$2,837	796%

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 $1,669.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Navicent Health Baldwin is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
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.