CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Medstar Good Samaritan Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $583
  • Cash Discount Price: $571
  • vs. Medicare Baseline: 2.39x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Medstar Good Samaritan Hospital is $583. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.39x the Medicare baseline. Located in 5601 Loch Raven Boulevard, Baltimore, MD.
Cash / Self-Pay
$571

Average discount available for prompt cash payment at this facility.

Insurance Median
$583

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: $571 (234%)
Insurance Median: $583 (239%)
Cash: $571 (234% of Medicare)
Ins. Median: $583 (239% 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 239% of the Medicare baseline (a markup of 139%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $433 - $733 178%
Amerigroup $433 - $733 178%
Amerihealth Caritas District Of Columbia $433 - $733 178%
Carefirst Advantage Inc $433 - $733 178%
Carefirst Blue Choice Inc $433 - $733 178%
Cigna $433 - $733 178%
First Health $433 - $733 178%
Hscsn $433 - $733 178%
Humana $433 - $733 178%
Kaiser Permanente $433 - $733 178%
Magellan Behavioral Health Inc $433 - $733 178%
Mamsi $433 - $733 178%
Medstar Family Choice $433 - $733 178%
Medstar Family Choice Inc $433 - $733 178%
Ncppo Healthlink Ppo $433 - $733 178%
Pfc $433 - $733 178%
Private Healthcare Systems (Phcs) $433 - $733 178%
Tricare $433 - $733 178%
United Behavioral Health Inc $433 - $733 178%
UnitedHealthcare $433 - $733 178%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5601 Loch Raven Boulevard, Baltimore, MD 21239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals