CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Merit Health Central

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $215
  • Cash Discount Price: $1,015
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Merit Health Central is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,015. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.88x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$1,015

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $1,015 (416%)
Insurance Median: $215 (88%)
Cash: $1,015 (416% of Medicare)
Ins. Median: $215 (88% 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
Cigna $23 - $2,622 9%
UnitedHealthcare $24 - $2,822 10%
Self Pay $29 - $3,327 12%
Trimed Billing Solutions $34 - $3,993 14%
Ms State Hospital Of Whitfield $44 - $5,057 18%
First Choice Ppo Plus $52 - $5,989 21%
First Choice Standard $53 - $6,122 22%
First Choice Mpcn Standard $63 - $7,320 26%
Hinds County Prisoners $63 - $7,320 26%
Benefit Management Systems $83 - $11,313 34%
Citizens State Bank Inc $83 - $11,313 34%
First Choice Stratose $92 - $10,647 38%
Prime Health Services $92 - $10,647 38%
American Health Group $98 - $11,313 40%
Beech Street $98 - $11,313 40%
One Health Plan $104 - $11,978 43%
Ms Dept Of Rehabilitation Services $115 - $8,513 47%
Veterans Eval Services $115 - $206 47%
Medicaid / KanCare $166 - $2,030 68%
Magnolia Mcd Ms Chip $186 76%
Caresource Truecare $188 77%
Molina Chip $199 82%
Tricare $205 84%
Humana $212 87%
Medicare (plans) $212 87%
Node First Choice Shared Health Of Ms Mcr Adv $212 87%
Node Vantage Health Mcr Adv $212 87%
Node Magnolia Mcr Adv $214 88%
Node Champva $215 88%
Node Hospice Non Par Agree $215 88%
Node Va $215 88%
Molina $216 89%
Node Devoted Health Mcr Adv $216 89%
Node First Choice American Health Of Ms Mcr Adv $216 89%
Aetna $218 - $650 89%
Node First Choice Wellcare Mcr Adv $220 90%
Node Healthy Mississippi Mcr Adv $237 97%
Prime Work Comp $263 108%
Node Us Dept Of Labor $269 110%
Ms Work Comp $271 111%
First Choice Preferred $323 133%
Occunet $323 133%
Molina Exchange $362 149%
Seven Corners $366 150%
Magnolia Exchange $377 155%
First Choice Lgp $470 193%
Vantage Health Commercial $485 199%
Advanced Health Systems $486 199%
Blue Cross Blue Shield $625 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals