CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Perry County Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,544
Cash Discount Price: $1,840
vs. Medicare Baseline: 6.33x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Perry County Memorial Hospital is $1,544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,840. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.33x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$1,840

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,544

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: $1,840 (755%)

Insurance Median: $1,544 (633%)

Cash: $1,840 (755% of Medicare)

Ins. Median: $1,544 (633% 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 633% of the Medicare baseline (a markup of 533%). 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
Medicaid / KanCare	$464 - $2,628	190%
Veterans Administration	$657 - $2,628	270%
Bc 130	$683 - $2,100	280%
Group Insurance	$683 - $2,628	280%
Medicare (plans)	$683	280%
Workers Compensation	$1,314	539%
Nsa	$1,544 - $1,622	633%
Guarantor Liable	$1,840 - $2,628	755%
Pcmh Insurnace	$2,050 - $2,628	841%
Secondary Insurance	$2,100	861%
UnitedHealthcare	$2,100	861%
Operating Engineers	$2,234	916%
Boilermakers Healthcare	$2,286	938%
Cigna	$2,286	938%
Great West	$2,286 - $2,628	938%
Sagxxxx	$2,286	938%
Champus	$2,628	1078%
Ngs American, Inc	$2,628	1078%
Patoka Valley	$2,628	1078%
Southwire	$2,628	1078%
Tricare	$2,628	1078%
Wausau Benefits	$2,628	1078%

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 $1,840.
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 Perry County 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.