CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Medstar Saint Mary's Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $201
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Medstar Saint Mary's Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.82x the Medicare baseline. Located in 25500 Point Lookout Road, Leonardtown, MD.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

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: $197 (81%)
Insurance Median: $201 (82%)
Cash: $197 (81% of Medicare)
Ins. Median: $201 (82% 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 $149 - $252 61%
Amerigroup $149 - $252 61%
Amerihealth Caritas District Of Columbia $149 - $252 61%
Carefirst Advantage Inc $149 - $252 61%
Carefirst Blue Choice Inc $149 - $252 61%
Cigna $149 - $252 61%
First Health $149 - $252 61%
Hscsn $149 - $252 61%
Humana $149 - $252 61%
Kaiser Permanente $149 - $252 61%
Magellan Behavioral Health Inc $149 - $252 61%
Mamsi $149 - $252 61%
Medstar Family Choice $149 - $252 61%
Medstar Family Choice Inc $149 - $252 61%
Ncppo Healthlink Ppo $149 - $252 61%
Pfc $149 - $252 61%
Private Healthcare Systems (Phcs) $149 - $252 61%
Tricare $149 - $252 61%
United Behavioral Health Inc $149 - $252 61%
UnitedHealthcare $149 - $252 61%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25500 Point Lookout Road, Leonardtown, MD 20650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals