CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Deaconess Henderson Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $303
  • Cash Discount Price: $615
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Deaconess Henderson Hospital is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $615. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.24x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$615

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

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: $615 (252%)
Insurance Median: $303 (124%)
Cash: $615 (252% of Medicare)
Ins. Median: $303 (124% 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
Aetna $111 - $1,988 46%
Blue Cross Blue Shield $111 - $215 46%
Humana $111 - $1,640 46%
Medicare (plans) $111 - $215 46%
Mhs Mco $111 - $215 46%
Molina Healthcare Of Ky $111 - $215 46%
Molina Healthcare Of Ky - Exchange $111 - $215 46%
Mytru Advantage $111 - $215 46%
Umwa $111 - $215 46%
UnitedHealthcare $111 - $576 46%
Wellcare Il $111 - $215 46%
Wellcare Ky $111 - $303 46%
Center Care Narrow $116 - $870 48%
Center Care Open Access $116 - $1,075 48%
Caresource In $120 49%
Medicaid / KanCare $120 - $410 49%
Caresource In Marketplace $136 - $403 56%
Ky Racing Health & Welfare Fund $136 - $594 56%
Self-Pay $136 - $615 56%
Wellcare Ky Commercial Exchange $144 - $441 59%
Alliance Coal $153 - $691 63%
Noncontracted $177 - $344 73%
Encircle/Encore Combined $188 - $1,186 77%
Encircle/Encore Prime $188 - $1,106 77%
Cigna $234 - $1,312 96%
Claimdoc $234 - $1,230 96%
Hopetrust $234 - $691 96%
Hstechnology $234 - $691 96%
Amish And Mennonite Of Western Ky $254 - $748 104%
First Health Network (Coventry) $273 - $1,742 112%
Healthlink $273 - $1,538 112%
Iu Health Plans $273 - $1,128 112%
Phcs/Multiplan $273 - $1,845 112%
Coventry National Network $312 - $1,640 128%
Webster County Detention Center $312 - $1,640 128%
Henderson County Detention Center $351 - $1,845 144%
Sagamore $418 - $1,804 171%
One Care $473 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals