CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lake Charles Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $287
  • Cash Discount Price: $1,048
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lake Charles Memorial Hospital is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,048. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.18x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$1,048

Average discount available for prompt cash payment at this facility.

Insurance Median
$287

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: $1,048 (430%)
Insurance Median: $287 (118%)
Cash: $1,048 (430% of Medicare)
Ins. Median: $287 (118% 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 $212 - $752 87%
Blue Cross Blue Shield $212 87%
Champus_Va $212 87%
Cigna $212 - $1,310 87%
Medicare (plans) $212 87%
Tricare $212 87%
Veterans_Administration $212 87%
Veterans_Choice-Triwest $212 87%
Humana $217 - $743 89%
Medicaid / KanCare $274 - $301 112%
Coushatta_Tribe_Dept_Of_Health $382 157%
Blue_Cross_Blue_Shield_La $474 194%
Vantage_Commercial $488 200%
Meritain $786 322%
Verity $838 344%
Ppo_Plus_ $1,048 430%
Phcs $1,222 501%
United_Healthcare_Behavorial_Health $1,222 501%
Lwcc $1,336 548%
First_Health $1,397 573%
United_Healthcare $1,437 589%
Workers_Compensation $1,571 644%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals