CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Long Island Community Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $233
  • Cash Discount Price: $1,118
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Long Island Community Hospital is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,118. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$1,118

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

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: $1,118 (459%)
Insurance Median: $233 (96%)
Cash: $1,118 (459% of Medicare)
Ins. Median: $233 (96% 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
Local 1199 $117 48%
Magellan $152 62%
Multiplan $152 62%
Oscar Health Exchange $159 65%
Coventry $173 71%
Longevity Health $187 77%
Galaxy $210 86%
Aarp $233 96%
Aetna $233 - $523 96%
Beacon Health Options $233 96%
Blue Cross Blue Shield $233 - $2,663 96%
Centerlight $233 96%
Cigna $233 - $611 96%
Emblem Ghi $233 96%
Fidelis $233 96%
Humana $233 96%
Integra $233 96%
Medicare (plans) $233 96%
UnitedHealthcare $233 - $2,788 96%
Agewell $242 99%
Elderplan Inc. $257 105%
Wellcare $257 105%
Magnacare $884 - $1,548 363%
Nexus Nyu $2,509 1029%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals