CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Union Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $223
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Union Hospital is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $983. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.91x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$223

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: $983 (403%)
Insurance Median: $223 (91%)
Cash: $983 (403% of Medicare)
Ins. Median: $223 (91% 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
Summacare $43 - $1,505 18%
Aetna $66 - $2,150 27%
Blue Cross Blue Shield $66 - $806 27%
Cigna $66 - $681 27%
Humana $66 - $223 27%
The Health Plan $66 - $1,301 27%
United $66 - $747 27%
Valor $66 - $223 27%
Mmo $68 - $1,505 28%
Aultcare $69 - $681 28%
Communicare $69 - $235 28%
Perennial Health $71 - $241 29%
Pphp $71 - $246 29%
Zing Health $72 - $246 30%
Cc Ehp $74 - $1,129 30%
Oscar $170 - $582 70%
Buckeye $199 - $224 82%
Molina $199 - $235 82%
Caresource $209 - $224 86%
UnitedHealthcare $212 - $223 87%
Amerihealth $219 - $246 90%
Devoted Health $223 91%
Upmc $223 - $1,290 91%
Ohcp $248 - $836 102%
Omas $318 - $1,075 130%
Healthsmart $350 - $1,182 144%
Phphi $382 - $1,290 157%
Gms $446 - $1,505 183%
Consociate Health $478 - $1,612 196%
Multiplan $573 - $1,935 235%
Amish Community Aid Plan $681 - $756 279%
Ohio Healthy $817 335%
Php $908 372%
Medical Benefit Corp $1,059 434%
Frontpath $1,362 559%
Managed Care Services $1,362 559%
Tertiary Care Network $1,362 559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals