CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Newton-Wellesley Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $281
Cash Discount Price: $3,160
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Newton-Wellesley Hospital is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,160. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.15x the Medicare baseline. Located in 2014 Washington Street, Newton, MA.

Cash / Self-Pay

$3,160

Average discount available for prompt cash payment at this facility.

Insurance Median

$281

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: $3,160 (1296%)

Insurance Median: $281 (115%)

Cash: $3,160 (1296% of Medicare)

Ins. Median: $281 (115% 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
Mgb Health Plan [150001]	$226	93%
Harvard Pilgrim Alternate [120002]	$231	95%
Harvard Pilgrim [120001]	$231	95%
UnitedHealthcare	$231 - $2,974	95%
Tufts Health Plan [170001]	$281	115%
Tufts Health Public Plans [1013]	$281	115%
Blue Cross Blue Shield	$287 - $698	118%
Humana	$287	118%
Medicare (plans)	$287	118%
International Commercial [140001]	$2,528	1037%
Phcs Multiplan [1022]	$3,075	1261%

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 $3,160.
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 Newton-Wellesley Hospital 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.