CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Maimonides Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $73
Cash Discount Price: $2,345
vs. Medicare Baseline: 0.30x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Maimonides Medical Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,345. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.30x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.

Cash / Self-Pay

$2,345

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $2,345 (962%)

Insurance Median: $73 (30%)

Cash: $2,345 (962% of Medicare)

Ins. Median: $73 (30% 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.

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	$32 - $292	13%
United Community Plan	$33 - $328	14%
UnitedHealthcare	$33 - $348	14%
Emblem Health - Hip	$36 - $190	15%
Blue Cross Blue Shield	$40 - $665	16%
Fidelis	$44 - $77	18%
Molina	$47 - $209	19%
Metroplus	$52 - $357	21%
Wellcare	$52 - $77	21%
Aetna	$53 - $298	22%
Villagecare Maxx Fida	$57 - $121	23%
Healthfirst Early Start	$61 - $63	25%
Oxford Health Plan	$61 - $348	25%
Visiting Nurse Svc Of Ny	$62 - $74	25%
Cigna	$71 - $347	29%
Elderplan	$71 - $77	29%
Emblem Health - Ghi	$72 - $905	30%
Hamaspik	$73 - $80	30%
Emblem Health - Hip Vip	$74 - $77	30%
Centers Plan For Healthy Living	$76	31%
Local 1199	$94 - $571	39%
Oxford Liberty	$100 - $348	41%

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 $2,345.
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 Maimonides 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.