CMS Price Transparency Data

MRI, brain (no contrast)

Facility: University of Michigan Health - West

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,493
Cash Discount Price: $1,488
vs. Medicare Baseline: 10.23x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at University of Michigan Health - West is $2,493. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,488. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.23x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$1,488

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,493

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: $1,488 (610%)

Insurance Median: $2,493 (1023%)

Cash: $1,488 (610% of Medicare)

Ins. Median: $2,493 (1023% 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 1023% of the Medicare baseline (a markup of 923%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$131 - $876	54%
Molina Healthcare Of Mi	$131	54%
Care Resources	$219	90%
Humana	$244 - $2,791	100%
Insight Metro Care	$244	100%
Medicare (plans)	$244	100%
Molina Marketplace Commercial	$244	100%
Priority Health	$385	158%
Aetna	$830 - $2,493	340%
Web Tpa	$1,635	671%
Alliance Health & Life Ppo	$2,493	1023%
Asr Physicians	$2,493	1023%
Hap	$2,493	1023%
Golden Rule Ins	$2,683	1101%
Medica	$2,683	1101%
Student Ins/Mega Life	$2,683	1101%
UnitedHealthcare	$2,683	1101%
Asr Cofinity	$3,107	1275%
Cofinity Commercial	$3,107	1275%
Cofinity Weyco	$3,107	1275%
Core Source	$3,107	1275%
Epoch Group	$3,107	1275%
Health Partners	$3,107	1275%
Hlthcomp Admin	$3,107	1275%
Mid America	$3,107	1275%

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 $1,488.
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 University of Michigan Health - West 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.