CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,039
Cash Discount Price: $1,110
vs. Medicare Baseline: 4.26x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Uofl Health - Shelbyville Hospital is $1,039. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,110. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.26x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$1,110

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,039

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: $1,110 (455%)

Insurance Median: $1,039 (426%)

Cash: $1,110 (455% of Medicare)

Ins. Median: $1,039 (426% 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 426% of the Medicare baseline (a markup of 326%). 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
Humana	$204 - $492	84%
Senior Care Communty Of Ky	$215	88%
Devoted	$225	92%
Blue Cross Blue Shield	$227 - $1,257	93%
Cigna	$227	93%
Essence Health	$227	93%
Va Ccn	$227	93%
Signature	$233 - $1,461	96%
Communicare	$238	98%
Passport	$238 - $1,461	98%
Velocity	$268 - $2,864	110%
Key Benefit Administrators	$295	121%
Wellcare	$300 - $468	123%
UnitedHealthcare	$468 - $1,394	192%
Aetna	$492	202%
Prime Group Health	$1,039 - $2,484	426%
Encore	$1,753	719%
Multiplan	$1,929 - $2,630	791%
Omca	$2,776	1139%
Corvel	$2,922	1199%
Cshn	$2,922	1199%
Health Smart	$2,922	1199%
National Comp Care	$2,922	1199%

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 $1,110.
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 Uofl Health - Shelbyville 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.