CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Cumberland Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $248
  • Cash Discount Price: $549
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Cumberland Medical Center is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $549. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.02x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$549

Average discount available for prompt cash payment at this facility.

Insurance Median
$248

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: $549 (225%)
Insurance Median: $248 (102%)
Cash: $549 (225% of Medicare)
Ins. Median: $248 (102% 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
UnitedHealthcare $126 - $478 52%
Blue Cross Blue Shield $173 - $823 71%
Wellpoint $221 - $248 91%
Farm Bureau $229 94%
Tricare $236 97%
Humana $243 100%
Aetna $248 - $340 102%
Cigna $248 - $463 102%
Devoted Health $248 102%
Wellcare $248 102%
Ehn $797 327%
Ambetter / Centene $987 405%
Correctional Medical Services $1,063 436%
Community Services Network $1,152 473%
Usa Managed Care Organization $1,240 509%
Novanet $1,329 545%
Direct Care America $1,418 582%
Medsave Usa $1,418 582%
National Provider Network $1,418 582%
Beech Street $1,506 618%
Ccn Managed Care $1,506 618%
Initial Group $1,559 640%
Galaxy Health Network $1,595 654%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals