CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Cleveland Clinic

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $393
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Cleveland Clinic is $393. 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 1.61x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$393

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: $393 (161%)
Cash: $983 (403% of Medicare)
Ins. Median: $393 (161% 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 - $722 18%
Aetna $66 - $2,150 27%
Blue Cross Blue Shield $66 - $1,285 27%
Devoted Health $66 - $224 27%
Humana $66 - $1,286 27%
The Health Plan $66 - $1,182 27%
United $66 - $518 27%
UnitedHealthcare $66 - $1,376 27%
Upmc $66 - $1,290 27%
Valor $66 - $224 27%
Cigna $68 - $1,720 28%
Communicare $69 - $235 28%
Perennial Health $71 - $242 29%
Pphp $71 - $246 29%
Zing Health $72 - $246 30%
Cc Ehp $125 - $944 51%
Oscar $170 - $582 70%
Paramount $205 - $275 84%
Buckeye $209 - $280 86%
Caresource $209 - $267 86%
Mmo $216 - $1,814 89%
Amerihealth $219 90%
Molina $219 - $280 90%
Ohcp $248 - $836 102%
Ohio Healthy $255 - $1,059 105%
Aultcare $274 - $924 112%
Amish Community Aid Plan $287 - $968 118%
United Bh $293 120%
Omas $318 - $1,075 130%
Healthsmart $350 - $1,182 144%
Phphi $382 - $1,290 157%
Clarity Health $414 - $1,398 170%
Gms $446 - $1,505 183%
Quality Care Partners $446 - $1,505 183%
Consociate Health $478 - $1,612 196%
Multiplan $573 - $1,935 235%
Three Rivers $573 - $1,935 235%
Usa Managed Care $573 - $1,935 235%
Php $908 372%
Medical Benefit Corp $1,059 434%
Parkview Health Plan $1,059 434%
Community Health Alliance $1,210 496%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals