CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Chester County Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,318
  • Cash Discount Price: $5,168
  • vs. Medicare Baseline: 5.41x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Chester County Hospital is $1,318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,168. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.41x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$5,168

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,318

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: $5,168 (2120%)
Insurance Median: $1,318 (541%)
Cash: $5,168 (2120% of Medicare)
Ins. Median: $1,318 (541% 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 541% of the Medicare baseline (a markup of 441%). 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
Health Partners $203 - $5,168 83%
Hospice Vna $245 101%
Medicare (plans) $245 - $250 101%
Primecare Medical $245 101%
Tricare $245 101%
Va Medical Center $245 101%
UnitedHealthcare $248 - $2,512 102%
Cigna $252 - $5,168 103%
Humana $252 103%
Devoted Health $257 105%
Pa Health And Wellness $257 - $404 105%
Aetna $260 - $1,654 107%
Clover Health Plan $260 107%
Gateway $269 - $304 110%
Medicaid / KanCare $269 - $5,168 110%
Mva Insurance $270 111%
Keystone First Vip Choice $272 112%
Us Family Health Plan $282 116%
Keystone First $344 141%
Elap $348 143%
Claims Watcher $392 - $441 161%
Oscar Health Plan $417 171%
Centivo $441 181%
Elap Services $456 187%
Highmark $504 207%
Penn Global Medicine $650 267%
Healthamerica/Coventry $765 314%
Geisinger Health Plan $777 319%
Pgm - Regie De L'Assurance Maladie Quebec $1,189 488%
Todays Option $1,447 594%
Ibc $1,451 - $2,407 595%
Keystone Hmo Proactive $1,451 595%
Preferred Health Care Eliance $1,602 657%
Pgm - Kuwait Defense $1,809 - $2,326 742%
Qualcare $1,964 806%
La Comunidad Hispana $2,067 848%
Pgm - Chop $2,067 848%
Pgm - Royal Embassy Of Saudi Arabia $3,101 1272%
Pgm - Embassy Of Qatar $3,359 1378%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $3,359 1378%
Pgm - Embassy Of The United Emirates/Ipc $3,618 1484%
Pgm - Kuwait Health Division $4,134 1696%
Pgm - Kuwait Oil $4,134 1696%
Preferred Health Care $4,134 1696%
Intergroup $4,393 1802%
Olympus $4,527 1857%
International Pfs $5,168 2120%
Medrisk $5,168 2120%
Not Adjusted $5,168 2120%
Workers Compensation $5,168 2120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals