CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mercy Hospital Logan County

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,953
  • Cash Discount Price: $2,163
  • vs. Medicare Baseline: 8.01x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mercy Hospital Logan County is $1,953. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,163. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.01x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$2,163

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,953

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: $2,163 (887%)
Insurance Median: $1,953 (801%)
Cash: $2,163 (887% of Medicare)
Ins. Median: $1,953 (801% 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 801% of the Medicare baseline (a markup of 701%). 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.

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 $110 - $1,953 45%
Humana $110 - $849 45%
Medicaid / KanCare $110 - $998 45%
Health Choice Contracted [320166] $665 273%
Tricare $825 338%
Blue Cross Blue Shield $849 - $1,597 348%
Cherokee Nation Health Serv Contracted [320066] $849 348%
Cross Timbers Hospice [20098] $849 348%
Dept Of Veteran Affairs Contracted [320106] $849 348%
Elara Caring Aspire Hospice Contracted [320433] $849 348%
Elara Caring Aspire Hospice [20433] $849 348%
Halo Hcr Inc Hospice Contracted [320432] $849 348%
Halo Hcr Inc Hospice [20432] $849 348%
Independent Health [20197] $849 348%
Indian Health Service Contracted [320198] $849 348%
Kindful Hospice Contracted [320434] $849 348%
Kindful Hospice [20434] $849 348%
Medical Associates Health [20444] $849 348%
Medicare (plans) $849 - $1,664 348%
Mercy Hospice Okc [20252] $849 348%
Provider Partners Health Plans Contracted [320450] $849 348%
Qual Choice Contracted [320325] $849 348%
Tribute Health Plan Mcr Contracted [320338] $849 348%
UnitedHealthcare $849 - $2,329 348%
Globalhealth Contracted [320145] $866 355%
Cigna $875 - $2,828 359%
Ambetter / Centene $998 409%
Home State Health Plan Contracted [320187] $998 409%
Novasys Contracted [320285] $998 409%
Webtpa Contracted [320417] $1,397 573%
Medica Contracted [320239] $1,664 683%
Community Care Contracted [320080] $1,730 710%
Aither Health Contracted [320449] $1,996 - $2,828 819%
Auxiant Contracted [320462] $1,996 - $2,828 819%
Federal Medical Center Contracted [320127] $1,996 819%
Healthlink Contracted [320179] $1,996 - $2,828 819%
Healthscope Contracted [320182] $1,996 819%
Mercy Benefit Admin Contracted [320251] $1,996 - $2,828 819%
Point C Contracted [320238] $1,996 819%
Preferred Health Plan Contracted [320522] $1,996 819%
Quik Trip Contracted [320447] $1,996 819%
Show-Me Health Administrators Contracted [320483] $1,996 819%
United Medical Resources Contracted [320454] $1,996 - $2,329 819%
Osma Health Contracted [320292] $2,329 955%
United Behavioral Health Contracted [320390] $2,329 955%
Benefit Management Contracted [320052] $2,495 - $2,994 1024%
Globalhealth Contracted [320144] $2,495 1024%
Healthcare Highways Plus Contracted [320175] $2,495 1024%
Private Health Care Systems Contracted [320320] $2,495 - $2,662 1024%
First Health Contracted [320128] $2,602 1067%
Multiplan Contracted [320270] $2,662 - $2,994 1092%
Ebms Contracted [320493] $2,828 1160%
Imagine 360 Contracted [320494] $2,828 1160%
Preferred Community Choice Contracted [320311] $2,828 1160%
Reflect Health Contracted [320492] $2,828 1160%
Yuzu Health Contracted [320521] $2,828 1160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 S Academy Rd, Guthrie, OK 73044
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals