CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $238
  • Cash Discount Price: $2,454
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Munson Healthcare Cadillac Hospital is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,454. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$2,454

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $2,454 (1007%)
Insurance Median: $238 (98%)
Cash: $2,454 (1007% of Medicare)
Ins. Median: $238 (98% 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
Mclaren Health Plan $44 - $1,847 18%
Meridian $44 - $124 18%
Molina $44 - $257 18%
Priority Health $44 - $455 18%
UnitedHealthcare $44 - $1,820 18%
Blue Cross Blue Shield $45 - $325 18%
American Health Associates $67 - $238 27%
Autumnwood Of Mcbain Skilled Nursing $67 - $238 27%
Blue Care Network $67 - $238 27%
Hap (Health Alliance Plan) $67 - $2,348 27%
Humana $67 - $238 27%
Medicare (plans) $67 - $238 27%
Michigan Amish Medical Board $67 - $238 27%
Promedica $67 - $238 27%
Samaritas Senior Living Skilled Nursing $67 - $238 27%
Wellcare (Meridian) $67 - $238 27%
Provider Network Of America Group Health $93 - $2,495 38%
Aetna $100 - $2,231 41%
Asr/Physicians Care $100 - $2,348 41%
Cofinity $100 - $2,289 41%
Cigna $104 - $455 43%
Employee Benefits Logistics $113 - $404 46%
Munson Hospice $852 - $2,054 350%
Hospice Of Michigan $1,703 - $1,761 699%
Enterprise Group Planning/Employee Benefit Plan $2,270 - $2,348 931%
Medical Cost Savings Solution $2,270 - $2,348 931%
Nomi Health $2,270 - $2,348 931%
Robbing Group And Regency Employee Benefits $2,270 - $2,348 931%
First Health/Coventry Network $2,412 - $2,495 989%
Three Rivers Provider Network $2,412 - $2,495 989%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals