CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Angel Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,006
Cash Discount Price: $5,781
vs. Medicare Baseline: 8.23x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Angel Medical Center is $2,006. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,781. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.23x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.

Cash / Self-Pay

$5,781

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,006

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: $5,781 (2371%)

Insurance Median: $2,006 (823%)

Cash: $5,781 (2371% of Medicare)

Ins. Median: $2,006 (823% 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 823% of the Medicare baseline (a markup of 723%). 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
One Call Medical	$400	164%
Amerigroup	$447	183%
Blue Cross Blue Shield	$983 - $1,034	403%
United	$1,050 - $2,601	431%
Wellcare	$1,065	437%
Amerihealth	$1,076	441%
Partners Health Management	$1,086	446%
Vaya Health	$1,086	446%
Apex Health	$1,156	474%
Aetna	$1,272 - $3,723	522%
Cigna	$2,006 - $3,307	823%
Amerihealth Caritas	$2,255	925%
Caresource	$2,544	1044%
Medcost	$2,544 - $3,055	1044%
Magellan	$3,469	1423%
Magellan Behavioral Health	$3,469	1423%
Multiplan	$4,625	1897%
Avalon Administrative Services	$4,914	2016%
Prime Health	$5,087 - $5,203	2087%

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 $5,781.
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 Angel Medical Center 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.