CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $3,255
Cash Discount Price: $1,234
vs. Medicare Baseline: 13.35x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Morris Hospital & Healthcare Centers is $3,255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,234. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.35x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$1,234

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,255

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: $1,234 (506%)

Insurance Median: $3,255 (1335%)

Cash: $1,234 (506% of Medicare)

Ins. Median: $3,255 (1335% 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 1335% of the Medicare baseline (a markup of 1235%). 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
Choicecare Hum Mcr Ppo	$256	105%
UnitedHealthcare	$256 - $4,515	105%
Aetna	$261 - $3,600	107%
Health Alliance Mcr Adv	$263	108%
Caterpillar - All Plans	$1,000	410%
Blue Cross Blue Shield	$1,900 - $2,814	779%
Cigna	$1,940 - $4,397	796%
Capp Care Ppo-Oth	$2,111 - $2,814	866%
Ambetter / Centene	$3,079 - $4,104	1263%
Choicecare Hum Othr - All Other Plans	$3,518 - $4,690	1443%
Multiplan - All Other Plans	$3,518 - $4,690	1443%
Multiplan Prime Ntwrk	$3,518 - $4,690	1443%
Health Alliance - All Other Plans	$3,738 - $4,984	1533%
Hfn All Plans - All Plans	$3,738 - $4,984	1533%

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 $1,234.
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 Morris Hospital & Healthcare Centers 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.