CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $459
  • Cash Discount Price: $827
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Oklahoma Heart Hospital South, LLC is $459. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $827. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.88x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.
Cash / Self-Pay
$827

Average discount available for prompt cash payment at this facility.

Insurance Median
$459

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: $827 (339%)
Insurance Median: $459 (188%)
Cash: $827 (339% of Medicare)
Ins. Median: $459 (188% 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
Aetna $105 - $229 43%
Humana $105 - $1,629 43%
Coventry $197 81%
Blue Cross Blue Shield $229 - $1,095 94%
Cigna $229 - $641 94%
Medicare (plans) $229 - $236 94%
UnitedHealthcare $229 - $244 94%
Va Ccn $229 94%
Geha $244 100%
Ambetter / Centene $321 132%
Community Care $459 - $1,653 188%
The Kempton Group $574 235%
Healthcare Highways $590 - $1,417 242%
Healthscope $1,086 446%
Oscar Insurance Company $1,086 446%
Webtpa Chickasaw Nation Hch $1,110 455%
Webtpa Hobby Lobby Hch $1,252 514%
Global Health $1,488 610%
Sana Benefits $1,535 630%
Ufcw $1,535 630%
First Health Network $1,629 668%
Manhattan Life $1,629 668%
Phcs $1,653 678%
Preferred Community Choice $1,795 736%
Multiplan $2,125 872%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5200 East I-240 Service Road, Oklahoma City, OK 73135
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals