CMS Price Transparency Data

MRI, brain (no contrast)

Facility: UW Health

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $244
  • Cash Discount Price: $821
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at UW Health is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $821. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.
Cash / Self-Pay
$821

Average discount available for prompt cash payment at this facility.

Insurance Median
$244

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: $821 (337%)
Insurance Median: $244 (100%)
Cash: $821 (337% of Medicare)
Ins. Median: $244 (100% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $117 - $2,529 48%
Blue Cross Blue Shield $117 - $2,907 48%
Humana $117 - $244 48%
Medicare (plans) $117 - $268 48%
Mychoice Wi Medical Adv $117 - $244 48%
UnitedHealthcare $117 - $2,692 48%
Medicaid / KanCare $119 49%
Quartz Aso $185 - $1,913 76%
Quartz Fully Insured $185 - $1,215 76%
Cigna $205 - $2,796 84%
Ecoh $250 - $2,758 103%
Hfn $250 - $2,758 103%
Alliance Premier Network $274 - $1,912 112%
The Alliance $297 - $2,461 122%
Wps $1,454 596%
Beloit Healt System $1,686 - $3,161 692%
Workers Comp $1,747 717%
Mercy Care $2,035 835%
Wps Ppo $2,549 - $2,709 1046%
Mercycare $3,077 - $3,270 1262%
First Health/Coventry $3,242 - $3,444 1330%
Health Payment Systems $3,847 - $4,088 1578%
Healthsmart $3,847 - $4,088 1578%
Sheboygan Employers Health Network $4,103 - $4,360 1683%
Multiplan $4,585 - $4,872 1881%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals