CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Jacobi Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $558
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.29x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Jacobi Medical Center is $558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.29x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$558

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%)

Insurance Median: $558 (229%)

Ins. Median: $558 (229% 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 229% of the Medicare baseline (a markup of 129%). 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
Healthfirst	$61 - $1,256	25%
Amidacare	$76 - $558	31%
Emblem	$76 - $1,292	31%
Wellcare	$82 - $969	34%
Metroplus	$97 - $1,256	40%
Fidelis	$109 - $1,256	45%
Aetna	$111 - $1,131	46%
Oscar	$114 - $1,702	47%
Blue Cross Blue Shield	$224 - $1,292	92%
Elderplan	$286 - $1,049	117%
Vaccn	$286	117%
Vnsny	$286 - $1,372	117%
Centers Plan For Healthy Living	$297	122%
Oxford	$522 - $969	214%
United	$522 - $1,292	214%
Carelon	$558 - $1,049	229%
Senior Whole Health	$558	229%
United Behavioral Health	$558 - $614	229%
Affinity	$569 - $1,256	233%
Carelon (Amida Care)	$569	233%
Centerlight	$807	331%
Magnacare	$1,211	497%
Cigna	$1,285	527%
Multiplan	$1,292	530%
Local 1199	$1,372	563%
Villagecare Max	$1,372	563%

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 $X.
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 Jacobi 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.