CMS Price Transparency Data
MRI, brain (no contrast)
Facility: Mount Carmel Dublin
Billing Code: 70551 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70551
- Insurance Median: $966
- Cash Discount Price: $1,344
- vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mount Carmel Dublin is $966. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,344. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.96x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$1,344
Average discount available for prompt cash payment at this facility.
Insurance Median
$966
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: $1,344 (551%)
Insurance Median: $966 (396%)
Cash: $1,344 (551% of Medicare)
Ins. Median: $966 (396% 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 396% of the Medicare baseline (a markup of 296%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $202 - $242 | 83% |
| Aetna | $225 - $1,776 | 92% |
| Blue Cross Blue Shield | $225 - $2,068 | 92% |
| Oscar | $230 | 94% |
| UnitedHealthcare | $230 - $1,904 | 94% |
| The Health Plan | $235 | 96% |
| Enterprise Group Planning | $444 | 182% |
| Custom Design Benefits | $481 | 197% |
| Quality Care Partners | $520 | 213% |
| Medical Mutual | $565 - $779 | 232% |
| Western & Southern Financial Group | $779 | 320% |
| Geha | $929 - $1,904 | 381% |
| Gravie Admin Services | $929 | 381% |
| Healthez | $929 | 381% |
| Meritain | $929 | 381% |
| Webtpa | $929 | 381% |
| Access Health | $966 | 396% |
| Acclaim | $966 | 396% |
| Administrative Concepts | $966 | 396% |
| Allegeant | $966 | 396% |
| Allied Benefit Systems | $966 | 396% |
| American Family | $966 | 396% |
| American Healthcare Alliance | $966 | 396% |
| American National | $966 | 396% |
| American Republic | $966 | 396% |
| Amerihealth | $966 | 396% |
| Aultcare | $966 | 396% |
| Automated Benefit Services | $966 | 396% |
| Auxiant | $966 | 396% |
| Benefit Administrative Systems,Llc | $966 | 396% |
| Boon Chapman | $966 | 396% |
| Cam Administrative Services | $966 | 396% |
| Christian Brother Services | $966 | 396% |
| Christian Brothers Holy Cross | $966 | 396% |
| Claimchoice Adminstrators | $966 | 396% |
| Comprehensive Benefits | $966 | 396% |
| Continental Life Insurance | $966 | 396% |
| Coventry | $966 | 396% |
| Custom Benefit Administrators | $966 | 396% |
| Cypress Benefit Administrators | $966 | 396% |
| Employee Benefit Concepts | $966 | 396% |
| Employee Benefit Management | $966 | 396% |
| Forest County Potawatomi | $966 | 396% |
| Freedom Life Insurance Company | $966 | 396% |
| Group Administrators | $966 | 396% |
| Group Marketing Services | $966 | 396% |
| Group Pension Administrators | $966 | 396% |
| Guardian | $966 | 396% |
| Health America | $966 | 396% |
| Health Choices | $966 | 396% |
| Healthcare Management Admin | $966 | 396% |
| Insight | $966 | 396% |
| Intercare | $966 | 396% |
| Jfp Benefit Management | $966 | 396% |
| Jp Farley Corporation | $966 | 396% |
| Key Benefit Administrator | $966 | 396% |
| Liberty Union Life Assurance Co | $966 | 396% |
| Lucent Health | $966 | 396% |
| Luminare Health | $966 | 396% |
| Magnacare | $966 | 396% |
| Medcost | $966 | 396% |
| Mutual Health Services | $966 | 396% |
| Mutual Of Omaha | $966 | 396% |
| Ncas | $966 | 396% |
| Nippon Life Ins | $966 | 396% |
| Nova | $966 | 396% |
| Painters Union Insurance Fund | $966 | 396% |
| Physicians Mutual | $966 | 396% |
| Plumbers Local 98 Insurance Fund | $966 | 396% |
| Prairie States | $966 | 396% |
| Preferred One | $966 | 396% |
| Primary Physician Care | $966 | 396% |
| Professional Benefit Administrators | $966 | 396% |
| Secureone Preferred United Plans | $966 | 396% |
| Siho Insurance Services | $966 | 396% |
| Sisco Benefits | $966 | 396% |
| The Loomis Company | $966 | 396% |
| Trustmark Small Business Benefits | $966 | 396% |
| U Of M Health Plan | $966 | 396% |
| Unicare | $966 | 396% |
| Unified Group Services | $966 | 396% |
| Us Health And Life | $966 | 396% |
| Valenz | $966 | 396% |
| Varipro | $966 | 396% |
| Wps | $966 | 396% |
| Humana | $1,057 - $2,068 | 434% |
| First Health | $1,090 | 447% |
| Paramount Hmo | $1,090 | 447% |
| Medben | $1,241 - $1,551 | 509% |
| Consociate | $1,264 | 519% |
| Health Ohio Network | $1,264 | 519% |
| Healthlink Inc | $1,551 | 636% |
| Medical Benefits Mutual | $1,551 | 636% |
| Ohio Health Choice | $1,551 | 636% |
| Ohio Ppo Connect | $1,551 | 636% |
| Medi Share | $1,652 | 678% |
| Multiplan | $1,652 | 678% |
| Phcs | $1,652 | 678% |
| Philadelphia American Life Insurance | $1,652 | 678% |
| Ameriben | $1,654 | 679% |
| Luminare Health (Detroit) | $1,654 | 679% |
| Ohiohealthy | $1,654 | 679% |
| Osu Not Independent Choice | $1,654 | 679% |
| Twin Valley Psychiatric | $1,654 | 679% |
| Health Smart | $1,758 | 721% |
| Rural Carrier Health Benefit Plan | $1,776 | 729% |
| American Postal Workers Secondary | $1,875 | 769% |
| Cigna | $1,875 | 769% |
| Health Partners | $1,875 | 769% |
| Healthgram | $1,875 | 769% |
| Mvp | $1,875 | 769% |
| Priority Health | $1,875 | 769% |
| Medicaid / KanCare | $2,068 | 848% |