CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Leonard J Chabert Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $265
Cash Discount Price: $453
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Leonard J Chabert Medical Center is $265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $453. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.09x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.

Cash / Self-Pay

$453

Average discount available for prompt cash payment at this facility.

Insurance Median

$265

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: $453 (186%)

Insurance Median: $265 (109%)

Cash: $453 (186% of Medicare)

Ins. Median: $265 (109% 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
Tricare	$87 - $92	36%
Medicaid / KanCare	$182	75%
Aetna	$222 - $900	91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$222	91%
Blue Cross Blue Shield	$222 - $912	91%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$222	91%
Medicare (plans)	$222	91%
Ochsner Health Plan	$222	91%
UnitedHealthcare	$222 - $553	91%
Healthy Blue (Healthy Louisiana)	$257	105%
Humana	$257	105%
Louisiana Healthcare Connections (Healthy Louisiana)	$257	105%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$265	109%
Verity Commercial And First Choice Network	$549	225%
Zelis	$599	246%
Claritev D/B/A Multiplan/Phcs/American Life Care	$723	297%
Louisiana Workers' Compensation Corporation (Lwcc)	$723	297%
First Health Network	$771	316%
Healthcomp & Personify Health (Formerly Gilsbar)	$790	324%
Usa Managed Care Network	$819	336%
Cigna	$1,132	464%

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 $453.
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 Leonard J Chabert Medical Center 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.