CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Indiana Regional Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $246
  • Cash Discount Price: $881
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Indiana Regional Medical Center is $246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $881. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$881

Average discount available for prompt cash payment at this facility.

Insurance Median
$246

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: $881 (361%)
Insurance Median: $246 (101%)
Cash: $881 (361% of Medicare)
Ins. Median: $246 (101% 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
Highmark $115 - $685 47%
Humana $115 - $245 47%
Aetna $116 - $762 48%
Cigna $117 - $623 48%
Highmark Wholecare $117 - $249 48%
Medicare (plans) $117 - $249 48%
Tricare $117 - $2,446 48%
United Mine Workers Of America $117 - $249 48%
UnitedHealthcare $117 - $978 48%
Ambetter / Centene $121 - $363 50%
Amerihealth Caritas $121 - $355 50%
Geisinger Health Plan $121 - $355 50%
Upmc Health Plan $123 - $2,329 50%
Geisinger $164 - $697 67%
Pa Health And Wellness Commercial $164 - $697 67%
Department Of Human Services And Torrance State Hospital $1,541 632%
Premier Comp Solutions, Llc $2,201 903%
Miscellaneous Commercial $2,446 1003%
Pa Workers Compensation $2,446 1003%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals