CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Memorial Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,407
Cash Discount Price: $4,012
vs. Medicare Baseline: 9.87x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Memorial Medical Center is $2,407. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,012. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.87x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$4,012

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,407

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: $4,012 (1646%)

Insurance Median: $2,407 (987%)

Cash: $4,012 (1646% of Medicare)

Ins. Median: $2,407 (987% 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 987% of the Medicare baseline (a markup of 887%). 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
Veterans Administration	$181	74%
Blue Cross Blue Shield	$182 - $4,012	75%
Aetna	$252 - $3,049	103%
Health Alliance	$252 - $2,608	103%
Medicare (plans)	$252 - $4,012	103%
Tricare	$252	103%
UnitedHealthcare	$252 - $2,487	103%
Humana	$264 - $2,407	108%
Medicaid / KanCare	$303	124%
Molina	$309	127%
Healthlink	$1,037 - $2,528	425%
Commercial Workers Compensation	$1,675	687%
Illinois Workers Compensation	$1,763	723%
Current Health Network Ppo	$1,805	740%
Cigna	$1,838	754%
Phcs/Multiplan	$2,166 - $2,407	889%
6 Degrees Health	$2,407	987%
Hopetrust	$2,407	987%
Hst	$2,407	987%
Magellan	$2,407	987%
Consociate	$2,608	1070%
Hfn	$2,608	1070%
Preferred Plan	$3,009	1234%
Soi Mcfarland	$3,009	1234%
Soi Rushville	$3,009	1234%
Corvel	$3,210	1317%
Methodist First Choice	$3,210	1317%
Mutual Medical Plans	$3,410	1399%
Liability	$4,012	1646%

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 $4,012.
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 Memorial Medical Center 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.