CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Coliseum Medical Centers, LLC, DBA

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,260
Cash Discount Price: $1,343
vs. Medicare Baseline: 9.27x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Coliseum Medical Centers, LLC, DBA is $2,260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,343. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.27x the Medicare baseline. Located in 350 Hospital Drive, Macon, GA.

Cash / Self-Pay

$1,343

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,260

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: $1,343 (551%)

Insurance Median: $2,260 (927%)

Cash: $1,343 (551% of Medicare)

Ins. Median: $2,260 (927% 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 927% of the Medicare baseline (a markup of 827%). 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
Medicaid / KanCare	$306 - $746	126%
UnitedHealthcare	$584	240%
Cigna	$955	392%
Aetna	$2,260	927%
Phcs [10601]	$2,686	1102%
Industry Buying Group [10840]	$2,910	1194%
First Health [10303]	$3,134	1286%
Novanet [10819]	$3,358	1378%
Beechstreet [10800]	$3,582	1469%
Multiplan [10600]	$4,029	1653%

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 $1,343.
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 Coliseum Medical Centers, LLC, DBA 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.