CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Atrium Health Navicent Peach

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $495
Cash Discount Price: $1,180
vs. Medicare Baseline: 2.03x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Atrium Health Navicent Peach is $495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,180. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.03x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$1,180

Average discount available for prompt cash payment at this facility.

Insurance Median

$495

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: $1,180 (484%)

Insurance Median: $495 (203%)

Cash: $1,180 (484% of Medicare)

Ins. Median: $495 (203% 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 203% of the Medicare baseline (a markup of 103%). 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
Aetna	$75 - $1,392	31%
Blue Cross Blue Shield	$75 - $495	31%
Georgia Health Advantage	$75 - $495	31%
Humana	$75 - $2,005	31%
UnitedHealthcare	$75 - $1,486	31%
Care Source	$77 - $505	32%
Clover	$77 - $505	32%
Eon Health	$77 - $505	32%
Alliant	$79 - $1,156	32%
Pruitt Health	$79 - $495	32%
Ambetter / Centene	$85 - $1,203	35%
Securehealth	$187 - $1,533	77%
Cigna	$224 - $1,717	92%
Multiplan	$1,533 - $1,887	629%
Novanet	$1,887	774%
Three Rivers Provider Network	$2,005	822%
Beechstreet	$2,194	900%

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 $1,180.
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 Peach 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.