CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mercy Rehabilitation Hospital St Louis

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $3,257
  • Cash Discount Price: $3,257
  • vs. Medicare Baseline: 13.36x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mercy Rehabilitation Hospital St Louis is $3,257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,257. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.36x the Medicare baseline. Located in 14561 N Outer 40 Rd, Chesterfield, MO.
Cash / Self-Pay
$3,257

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,257

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: $3,257 (1336%)
Insurance Median: $3,257 (1336%)
Cash: $3,257 (1336% of Medicare)
Ins. Median: $3,257 (1336% 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 1336% of the Medicare baseline (a markup of 1236%). 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 $3,257 1336%
Ambetter / Centene $3,257 1336%
Blue Cross Blue Shield $3,257 1336%
Cigna $3,257 1336%
Devoted Health $3,257 1336%
Essence $3,257 1336%
Healthlink Hmo $3,257 1336%
Healthlink Ppo $3,257 1336%
Healthy Blue (Missouri Care) $3,257 1336%
Homestate Health Plan $3,257 1336%
Humana $3,257 1336%
Medica $3,257 1336%
Medicaid / KanCare $3,257 1336%
Meritain Health Cpd $3,257 1336%
Meritain Health Ppo Cpd $3,257 1336%
Starmark Cpd $3,257 1336%
Tricare $3,257 1336%
UnitedHealthcare $3,257 1336%
Wellcare $3,257 1336%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14561 N Outer 40 Rd, Chesterfield, MO 63017
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL