CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Terrebonne General Medical Center - Parish

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $466
Cash Discount Price: $1,861
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Terrebonne General Medical Center - Parish is $466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,861. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.91x the Medicare baseline. Located in 8166 Main Street, Houma, LA.

Cash / Self-Pay

$1,861

Average discount available for prompt cash payment at this facility.

Insurance Median

$466

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: $1,861 (763%)

Insurance Median: $466 (191%)

Cash: $1,861 (763% of Medicare)

Ins. Median: $466 (191% 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.

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
Champ Va	$111	46%
Blue Cross Blue Shield	$213 - $580	87%
Dept Of Veterans Affairs	$213	87%
Humana	$213 - $650	87%
Medicare (plans)	$213	87%
UnitedHealthcare	$213 - $2,514	87%
Tricare	$216	89%
Amg	$227	93%
Medicaid / KanCare	$450	185%
Amerihealth	$459	188%
Aetna	$464 - $2,300	190%
Vantage Health Plan	$540	222%
Ppoplus	$603	247%
Gilsbar 360	$656 - $676	269%
Verity Health	$1,433	588%
Multiplan Inc	$1,634	670%
Cigna	$1,687	692%
Coventry Health Of Louisiana	$2,012	825%
Workers Comp	$2,514	1031%

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 $1,861.
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 Terrebonne General Medical Center - Parish 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.