CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $411
  • Cash Discount Price: $548
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Poplar Bluff Regional Medical Center is $411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $548. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.69x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$548

Average discount available for prompt cash payment at this facility.

Insurance Median
$411

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: $548 (225%)
Insurance Median: $411 (169%)
Cash: $548 (225% of Medicare)
Ins. Median: $411 (169% 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
Medicaid / KanCare $23 - $1,431 9%
Self Pay $28 - $1,717 11%
Blue Cross Blue Shield $30 - $1,853 12%
Cigna $63 - $5,724 26%
Evolutions Healthcare $63 - $3,900 26%
UnitedHealthcare $63 - $3,849 26%
Tyson Foods $64 - $3,935 26%
Access Health Services, Llc $66 - $4,078 27%
Parker Hannifin $70 - $5,009 29%
Healthlink $73 - $4,472 30%
First Health $76 - $4,651 31%
Blue Traditional $86 - $5,521 35%
Coventry Wc $93 - $5,724 38%
Municipal Health $93 - $5,724 38%
Multiplan $101 - $6,225 41%
Phcs $101 - $6,225 41%
Compresults Wc $105 - $6,440 43%
Veterans Eval Services $116 - $208 48%
Node Champva $241 99%
Tricare $241 99%
Medicare (plans) $252 103%
Node United Behavioral Health Mcr Adv $252 103%
Humana $254 104%
Node Hospice Non Par Agree $256 105%
Node Va $256 105%
Node Ahs Mcr Adv $262 107%
Node Devoted Health Mcr Adv $264 108%
Node Pphp Mcr Adv $290 119%
Centurion Correctional $320 131%
Us Department Of Labor $320 131%
Naphcare $486 199%
Home State Exchange $640 263%
W W Wood $640 263%
Blue Access $874 359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals