CMS Price Transparency Data

MRI, brain (no contrast)

Facility: The Women's Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $269
  • Cash Discount Price: $2,725
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at The Women's Hospital is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,725. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.10x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$2,725

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $2,725 (1118%)
Insurance Median: $269 (110%)
Cash: $2,725 (1118% of Medicare)
Ins. Median: $269 (110% 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
Chamber Care $65 - $3,233 27%
UnitedHealthcare $78 - $3,695 32%
Immergrun $79 - $1,930 32%
Amish $87 - $403 36%
Encorecombined $103 - $3,233 42%
Encoreprime $103 - $3,141 42%
Blue Cross Blue Shield $116 - $800 48%
Caresource $116 - $218 48%
Humana $116 - $1,062 48%
Iu Health $116 - $2,309 48%
Meridian Health Il $116 - $218 48%
Mhs $116 - $218 48%
Molina Il $116 - $218 48%
Molina Ky $116 - $218 48%
Molina Ky Dual $116 - $218 48%
Patoka Valley Health Care (80/20 Plan) $116 - $2,863 48%
Patoka Valley Health Care (90/10 Plan) $116 - $2,771 48%
Wellcare Ky $116 - $1,062 48%
Aetna $119 - $3,076 49%
Caresource Hip $119 - $120 49%
Caresource In $119 - $120 49%
Mdwise Hip $119 - $120 49%
Mhs Behavioral $119 - $120 49%
Ambetter / Centene $133 - $339 55%
Self Pay $136 - $2,725 56%
Caresource Marketplace (Just4Me) $151 - $328 62%
One Care $151 - $3,233 62%
Hst $157 - $328 64%
Alliance Coal $160 - $3,202 66%
Allied National/Zelis - Freedom Plan $162 - $691 66%
Claimdoc $168 - $783 69%
Hope Trust $186 - $360 76%
Noncontracted $186 - $349 76%
Center Care $234 - $3,602 96%
Cigna $234 - $1,971 96%
Sagamore $234 - $1,971 96%
Claritev (Formerly Phcs/Mulitplan) $273 - $3,187 112%
First Health/Coventry $273 - $3,418 112%
Healthlink $273 - $3,926 112%
Passport Molina Ky $303 - $1,062 124%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals