CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $896
Cash Discount Price: $1,475
vs. Medicare Baseline: 3.68x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Kapiolani Medical Center for Women & Children is $896. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,475. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.68x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$1,475

Average discount available for prompt cash payment at this facility.

Insurance Median

$896

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: $1,475 (605%)

Insurance Median: $896 (368%)

Cash: $1,475 (605% of Medicare)

Ins. Median: $896 (368% 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 368% of the Medicare baseline (a markup of 268%). 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
Mdx	$207 - $1,478	85%
Alohacare	$242 - $540	99%
Hmsa	$242 - $737	99%
Kaiser	$242 - $2,700	99%
Devoted	$254	104%
Ohana	$290 - $896	119%
Hwmg/Hmaa	$383 - $1,467	157%
UnitedHealthcare	$554 - $616	227%
Pac Admin	$670	275%
Uha	$672 - $1,534	276%
Mimoh	$1,294 - $2,301	531%
Hcha	$1,478 - $2,454	606%
Multiplan	$1,478 - $2,608	606%
Verdegard	$1,478 - $2,454	606%
Mccp	$1,571 - $2,608	644%
Coventry	$1,663 - $2,761	682%

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 $1,475.
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 Kapiolani Medical Center for Women & Children 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.