CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Bayou Bend Health System

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,100
Cash Discount Price: $1,132
vs. Medicare Baseline: 4.51x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Bayou Bend Health System is $1,100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,132. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.51x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$1,132

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,100

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: $1,132 (464%)

Insurance Median: $1,100 (451%)

Cash: $1,132 (464% of Medicare)

Ins. Median: $1,100 (451% 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 451% of the Medicare baseline (a markup of 351%). 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	$256 - $1,138	105%
UnitedHealthcare	$373 - $808	153%
Tricare	$728	299%
Aetna	$808 - $1,100	331%
Dignity Mcr Adv Ip/Op Only-All Plans	$808	331%
Humana	$808 - $1,051	331%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$808	331%
Verity Healthnet Mcr Adv Ip/Op Only	$808	331%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$808	331%
Ambetter / Centene	$930	382%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$1,138	467%
La Health Mcaid Ip/Op Only	$1,138	467%
Verity Healthnet Mcaid Ip/Op Only	$1,138	467%
Diocese Of Lafaytte Ip/Op Only-All Plans	$1,213	498%
Gilsbar 360 Ip/Op Only-All Plans	$1,213	498%
Verity Healthnet Ip/Op Only-All Other Plans	$1,213	498%
Ccn/First Health Ip/Op Only-All Plans	$1,294	531%
Integrated Hp Multiplan Ip/Op Only-All Plans	$1,294	531%
Ppo Plus / Zelis Ip/Op Only-All Plans	$1,294	531%
Geha Ppo Ip/Op Only-All Plans	$1,374	564%
Usa Mco Ip/Op Only-All Plans	$1,374	564%
Galaxy Ip/Op Only-All Plans	$1,455	597%
Cigna	$1,650	677%

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 $1,132.
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 Bayou Bend Health System 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.