CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Fisher-Titus Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,708
  • Cash Discount Price: $2,205
  • vs. Medicare Baseline: 7.01x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Fisher-Titus Hospital is $1,708. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,205. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.01x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
$2,205

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,708

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: $2,205 (905%)
Insurance Median: $1,708 (701%)
Cash: $2,205 (905% of Medicare)
Ins. Median: $1,708 (701% 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 701% of the Medicare baseline (a markup of 601%). 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
Perennial Advantage $66 - $238 27%
UnitedHealthcare $66 - $2,230 27%
Sidecar $68 - $1,700 28%
Blue Cross Blue Shield $157 - $2,529 64%
Caresource $157 - $227 64%
Amerihealth $162 66%
Buckeye $162 - $227 66%
Molina $162 66%
Aetna $227 - $2,132 93%
Medical Mutual Of Ohio $227 - $1,423 93%
Paramount $227 - $2,205 93%
Summacare $227 - $2,156 93%
Wellcare $227 93%
Zing Health $227 93%
Valor Health $234 96%
Health Ohio Network $1,715 704%
Tricare $1,838 - $1,960 754%
Cigna $1,960 804%
Claimsdoc $1,960 804%
First Health $2,205 905%
Multiplan $2,205 905%
Ohio Health Choice $2,205 905%
Healthscope $2,230 915%
Emerald Health $2,376 975%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Benedict Avenue, Norwalk, OH 44857
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals