CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Helen Newberry Joy Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $164
Cash Discount Price: $105
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Helen Newberry Joy Hospital is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.67x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $105 (43%)

Insurance Median: $164 (67%)

Cash: $105 (43% of Medicare)

Ins. Median: $164 (67% 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.

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
Mi Wc - All Plans	$82 - $1,926	34%
Aetna	$115 - $2,859	47%
Uphg Tpa - All Plans	$115 - $2,709	47%
First Health - All Plans	$121 - $2,859	50%
Ppom/Cofinity - All Plans	$121 - $2,859	50%
Cigna	$124 - $2,919	51%
Health Alliance - All Plans	$124 - $2,919	51%
Healtheos - All Plans	$124 - $2,919	51%
Priority Health - All Plans	$124 - $2,919	51%
UnitedHealthcare	$124 - $2,919	51%
Vital Core - All Plans	$124 - $2,920	51%
Blue Cross Blue Shield	$126 - $2,971	52%
Uphp Mcaid - All Plans	$229 - $1,414	94%
Va - All Plans	$253 - $1,234	104%
Humana	$321 - $1,204	132%
Mi Health Link - All Plans	$321 - $1,204	132%

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 $105.
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 Helen Newberry Joy Hospital 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.