CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Roane Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $232
  • Cash Discount Price: $549
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Roane Medical Center is $232. 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 0.95x the Medicare baseline. Located in 8045 Roane Medical Center Drive, Harriman, TN.
Cash / Self-Pay
$549

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $232 (95%)
Cash: $549 (225% of Medicare)
Ins. Median: $232 (95% 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 $105 - $478 43%
Blue Cross Blue Shield $173 - $823 71%
Wellpoint $212 - $232 87%
Farm Bureau $214 88%
Tricare $221 91%
Humana $227 93%
Aetna $232 - $340 95%
Cigna $232 - $463 95%
Devoted Health $232 95%
Wellcare $232 95%
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: 8045 Roane Medical Center Drive, Harriman, TN 37748
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals