CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Southwest General Health Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $267
  • Cash Discount Price: $2,137
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Southwest General Health Center is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,137. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.10x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$2,137

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $2,137 (877%)
Insurance Median: $267 (110%)
Cash: $2,137 (877% of Medicare)
Ins. Median: $267 (110% 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
Medical Mutual $96 - $102 39%
Medical Mutual-Ohio $96 - $259 39%
Buckeye $199 - $303 82%
Caresource $199 - $253 82%
Humana $199 - $1,111 82%
Molina $199 - $303 82%
UnitedHealthcare $199 - $1,538 82%
Amerihealth Caritas $207 - $253 85%
Blue Cross Blue Shield $253 - $344 104%
Valor Health $259 106%
Healthsmart $912 374%
Health Design Plus $1,054 432%
Clarity Health $1,140 468%
Healthspan $1,140 468%
Healthsmart Preferred $1,282 526%
Ohio Health Choice Plus $1,379 566%
Summacare $1,538 631%
Aetna $1,541 632%
Cigna $1,558 639%
Coventry $1,966 806%
First Health $1,966 806%
Ohio Health Choice $2,202 903%
Private Healthare Systems $2,279 935%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals