CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Johnson Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $3,041
Cash Discount Price: $3,475
vs. Medicare Baseline: 12.47x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Johnson Memorial Hospital is $3,041. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,475. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.47x the Medicare baseline. Located in 1125 W Jefferson St, Franklin, IN.

Cash / Self-Pay

$3,475

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,041

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: $3,475 (1426%)

Insurance Median: $3,041 (1247%)

Cash: $3,475 (1426% of Medicare)

Ins. Median: $3,041 (1247% 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 1247% of the Medicare baseline (a markup of 1147%). 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
Blue Cross Blue Shield	$119 - $2,459	49%
Aetna	$252 - $3,671	103%
Humana	$252 - $3,625	103%
Cigna	$419	172%
Unified Group - All Plans	$2,505 - $2,814	1028%
Encore - All Plans	$2,855 - $3,206	1171%
UnitedHealthcare	$2,896 - $3,402	1188%
Siho - All Plans	$3,723 - $4,182	1527%
Multiplan - All Plans	$4,013 - $4,508	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 $3,475.
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 Johnson Memorial Hospital 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.