CMS Price Transparency Data

MRI, brain (no contrast)

Facility: University Hospitals Samaritan Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,888
  • Cash Discount Price: $2,579
  • vs. Medicare Baseline: 11.85x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at University Hospitals Samaritan Medical Center is $2,888. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,579. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.85x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$2,579

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,888

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: $2,579 (1058%)
Insurance Median: $2,888 (1185%)
Cash: $2,579 (1058% of Medicare)
Ins. Median: $2,888 (1185% 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 1185% of the Medicare baseline (a markup of 1085%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $212 - $2,950 87%
Blue Cross Blue Shield $212 - $3,105 87%
Cigna $212 - $3,170 87%
Devoted Health $212 87%
Humana $212 87%
Molina $212 87%
Primetime Health Plan $212 87%
Summacare $212 - $3,129 87%
The Health Plan $212 - $3,025 87%
UnitedHealthcare $212 - $3,170 87%
Wellcare By Allwell $212 87%
Paramount $218 89%
Perennial Advantage Of Ohio $222 91%
Valor Health Plans $222 91%
Ambetter / Centene $381 156%
Caresource $381 156%
University Health Employee Plan (Contigo) $728 299%
Amish Aid Community Plan $800 328%
Amish Church Fund And Workers Aid Plan $800 328%
Buckeye Plain Ministries $800 328%
Medical Mutual Of Ohio $1,217 - $3,407 499%
Christian Healthcare Ministries $1,351 - $1,719 554%
Immergrun $1,719 705%
Sunrise Plain Communities $1,719 705%
Medical Mutual Traditional/Health Ohio $2,407 987%
Beech Street $2,750 - $3,094 1128%
Ohio Preferred Network $2,750 - $3,094 1128%
First Health $2,854 1171%
Century Health Network $2,922 1199%
Ohio Health Choice $2,922 - $3,094 1199%
Private Healthcare System $2,957 1213%
Aultcare $3,094 1269%
Clarity $3,094 1269%
Configurenet $3,094 1269%
Fortified Provider Network $3,094 1269%
Healthsmart $3,094 1269%
Jp Farley $3,094 1269%
Multiplan $3,094 1269%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals