MRI, brain (no contrast)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 70551 (CPT)
- CPT Billing Code: 70551
- Insurance Median: $4,544
- Cash Discount Price: $6,059
- vs. Medicare Baseline: 18.64x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1864% of the Medicare baseline (a markup of 1764%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $3,635 | 1491% |
| Americas Choice Provider Network | $4,241 | 1740% |
| Provider Network Of America | $4,544 | 1864% |
| Velocity | $4,544 | 1864% |
| Usa Managed Care Organization | $4,544 | 1864% |
| Quiktrip Corporation | $4,544 | 1864% |
| Multiplan-Phcs | $4,847 | 1988% |
| Prime Health Services | $5,150 | 2113% |
| Medincrease | $5,453 | 2237% |
Consumer Guidance & Cost Commentary
For the MRI, brain (no contrast) procedure at the Rehabilitation Hospital Of Overland Park in Overland Park, KS, the cash price is $6,059.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $243.77, reflecting a markup of 18.6% above the federal baseline. While commercial insurance payers negotiate rates ranging from $3,635 to $5,453 depending on the plan, these negotiated amounts often exceed the cash price for patients with high-deductible plans. Because insurance billing involves administrative overhead and potential deductibles, paying cash upfront can sometimes result in lower out-of-pocket costs, provided you verify the specific allowed amount with your insurer before scheduling.
To minimize costs, patients should actively request "self-pay" or "prompt-pay" discounts from the hospital before check-in, as these programs often offer reductions of 20% to 50% for upfront payment. It is also important to avoid relying on summary bills, which may obscure individual charges; instead, demand a full itemized statement to identify any errors or unbundled codes. While the facility is a Part A provider in Kansas, the data does not include specific county or state average comparisons for this procedure, so the most reliable benchmark remains the Medicare rate and the facility's own negotiated rates. Always confirm your deductible status and whether the facility is truly in-network for your specific plan to avoid unexpected balance billing.