CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $300
  • Cash Discount Price: $1,169
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Cincinnati Children's Hospital Medical Center is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,169. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.23x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$1,169

Average discount available for prompt cash payment at this facility.

Insurance Median
$300

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: $1,169 (480%)
Insurance Median: $300 (123%)
Cash: $1,169 (480% of Medicare)
Ins. Median: $300 (123% 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
Blue Cross Blue Shield $46 - $4,152 19%
Aetna $48 - $4,013 20%
Mhs_In $48 - $155 20%
Caresource_In $49 - $163 20%
Humana $50 - $1,056 21%
Passport_Ky $50 - $1,098 21%
United_Health_Care_Ky $50 - $1,115 21%
Wellcare_Ky $50 - $1,111 21%
Caresource_Oh $107 - $381 44%
Amerihealth_Caritas_Oh $110 - $412 45%
Molina_Oh $112 - $419 46%
Buckeye_Oh $117 - $438 48%
United_Health_Care_Oh $127 - $402 52%
Caresource_Oh_Insurance $172 - $2,028 71%
Medical_Mutual_Of_Ohio_Insurance $192 - $4,013 79%
Parkview_Signature_Care_Insurance $220 - $3,295 90%
Point_Comfort_Insurance $233 - $2,746 96%
Margaret_Mary_Health_Insurance $238 - $3,295 98%
United_Health_Care_Insurance $273 - $3,785 112%
Beechstreet_Insurance $290 - $4,140 119%
Cigna $290 - $4,013 119%
Health_Ohio_Network_Insurance $327 - $4,013 134%
Custom_Design_Benefits_Insurance $341 - $4,013 140%
Health_Smart_Preferred_Insurance $341 - $4,013 140%
Medical_Benefit_Administrators_Insurance $341 - $4,013 140%
Ohio_Health_Choice_Insurance $341 - $4,013 140%
Private_Health_Care_Systems_Insurance $345 - $4,055 142%
First_Health_Group_Insurance $352 - $4,140 144%
Health_Link_Insurance $352 - $4,140 144%
Evolutions_Health_Care_Systems $359 - $4,224 147%
Galaxy_Health_Insurance $359 - $4,224 147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens