CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Murray-Calloway County Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,353
Cash Discount Price: $2,610
vs. Medicare Baseline: 5.55x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Murray-Calloway County Hospital is $1,353. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,610. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.55x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.

Cash / Self-Pay

$2,610

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,353

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: $2,610 (1071%)

Insurance Median: $1,353 (555%)

Cash: $2,610 (1071% of Medicare)

Ins. Median: $1,353 (555% 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 555% of the Medicare baseline (a markup of 455%). 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
Blue Cross Blue Shield	$224 - $1,353	92%
Humana	$224 - $2,711	92%
Tricare	$224	92%
Triwest - All Plans	$224	92%
Wellcare Mcr Adv	$228	94%
Wellcare Health Plan Inc	$257	105%
Medben Mcch Employees	$381	156%
Ambetter / Centene	$437	179%
Health Cost Solutions - All Plans	$560	230%
Medben City Of Murray - All Other Plans	$750	308%
Aetna	$1,353	555%
Coventry Cares Of Ky - All Plans	$1,353	555%
Medicaid / KanCare	$1,353	555%
Passport Health - All Plans	$1,353	555%
Occunet - All Plans	$2,008	824%
UnitedHealthcare	$2,056	843%
Center Care - All Plans	$2,891	1186%
Bluegrass - All Plans	$3,011	1235%
Three Rivers - All Plans	$3,212	1318%
First Health - All Plans	$3,614	1483%
Healthsmart - All Plans	$3,614	1483%
Multiplan - All Plans	$3,614	1483%
Corvel Corporation - All Plans	$4,015	1647%

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 $2,610.
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 Murray-Calloway County 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.