CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Jefferson Abington Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $263
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Jefferson Abington Hospital is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.08x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$263

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: $211 (87%)
Insurance Median: $263 (108%)
Cash: $211 (87% of Medicare)
Ins. Median: $263 (108% 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
Jup Health Partners Chip $56 - $395 23%
Medicaid / KanCare $56 - $673 23%
Medicare (plans) $66 - $453 27%
Jup Pa Health_Wellness $89 - $439 37%
Abington Pro Ibc $92 - $288 38%
Aetna $102 - $1,118 42%
Jup Geisinger Commercial $106 - $807 43%
Jup Highmark $128 - $369 53%
Jab Health Partners $186 76%
Jefferson Health Plan Aca Qhp Exchange $200 82%
Innovage $211 87%
Inspira Life $211 87%
Point Of Comfort Refugee Resettlement $211 87%
Provider Partners Health Plan $211 87%
St Agnes $211 87%
Tricare $211 87%
UnitedHealthcare $211 - $228 87%
Humana $215 88%
Cigna $219 - $473 90%
Devoted Health Participation $221 91%
Keystone First Vip Choice $225 92%
Allwell Pa Health_Wellness Ma $232 95%
Perennial $244 100%
Highmark Wholecare Gateway $247 101%
Ibc Employee Benefit $263 108%
Ibc Main Line Health $263 108%
Ibc $294 121%
Ambetter / Centene $306 126%
Keystone First $331 - $415 136%
Naphcare $337 138%
Pa Health_Wellness Chc $350 - $439 144%
Blue Cross Blue Shield $817 335%
Geisinger Health Plan $859 - $860 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals