CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Ascension St Vincent Kokomo

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $148
  • Cash Discount Price: $583
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Ascension St Vincent Kokomo is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.61x the Medicare baseline. Located in 1907 W Sycamore St, Kokomo, IN.
Cash / Self-Pay
$583

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $583 (239%)
Insurance Median: $148 (61%)
Cash: $583 (239% of Medicare)
Ins. Median: $148 (61% 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
UnitedHealthcare $36 - $500 15%
Blue Cross Blue Shield $53 - $647 22%
Medicaid / KanCare $53 - $168 22%
Mhs Care Connect $53 - $168 22%
Aetna $148 - $700 61%
Ambetter / Centene $148 61%
Ascension Complete Mcr $148 61%
Caresource Marketplace $148 61%
Corizon $148 61%
Humana $148 61%
Immergrun $148 61%
Medicare (plans) $148 61%
Personalized Care $148 61%
Secure Horizons-Pacificare $148 61%
Smarthealth Ppo $266 109%
Smarthealth Ppo/Hdhp 20161001 $266 109%
Encore Exclusive $309 127%
Patoka Valley Tier 1 $309 127%
Patoka Valley Tier 2 $309 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1907 W Sycamore St, Kokomo, IN 46904
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals