CMS Price Transparency Data

MRI, brain (no contrast)

Facility: University of Michigan Health System

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $533
  • Cash Discount Price: $903
  • vs. Medicare Baseline: 2.19x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at University of Michigan Health System is $533. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $903. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.19x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$903

Average discount available for prompt cash payment at this facility.

Insurance Median
$533

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: $903 (370%)
Insurance Median: $533 (219%)
Cash: $903 (370% of Medicare)
Ins. Median: $533 (219% 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 219% of the Medicare baseline (a markup of 119%). 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 $44 - $2,979 18%
Ambetter / Centene $44 - $127 18%
Blue Cross Blue Shield $44 - $271 18%
Buckeye Community Health Plan $44 - $127 18%
Hap Midwest $44 - $127 18%
Mclaren Health Plan Inc $44 - $2,708 18%
Medicaid / KanCare $44 - $2,256 18%
Molina Healthcare Of Michigan Inc $44 - $168 18%
Priority Health $44 - $4,513 18%
UnitedHealthcare $44 - $3,294 18%
Amerihealth Michigan Inc $47 - $132 19%
Huron Valley Pace $56 - $156 23%
Blue Care Network Of Michigan $58 - $271 24%
Health Alliance Plan $58 - $165 24%
Humana $58 - $165 24%
Medigold Trinity Health Plan Of Michigan $58 - $165 24%
Meridian Health Plan Of Michigan Inc $58 - $165 24%
Paramount Elite-Ohio $58 - $165 24%
Paramount Health Care $58 - $3,746 24%
Thome Pace $58 - $165 24%
Triwest $58 - $165 24%
Veteran Affairs Community Care Program $58 - $165 24%
Medicare (plans) $59 - $167 24%
Zing Health $61 - $173 25%
Employee Benefit Logistic $99 - $280 41%
Point Comfort Underwriters Unaccompanied Children Program $347 - $1,941 142%
Priority Health [1038] $371 - $3,024 152%
Metrocare $379 - $2,121 155%
Hap [1023] $442 - $3,385 181%
Plain Church Group $484 - $2,708 199%
First Health $524 - $3,138 215%
Cofinity $532 - $2,979 218%
Confinity Advantage $532 - $2,979 218%
Beaumont Health Network $564 - $3,159 231%
Nomi Health $564 - $3,159 231%
Provider Network Of America $564 - $3,159 231%
First Agency $604 - $3,385 248%
Parkview Health Plan Services $604 - $3,385 248%
Bronson Healthcare Group $685 - $3,836 281%
Multiplan $685 - $3,836 281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals