CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lafollette Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $290
  • Cash Discount Price: $1,775
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lafollette Medical Center is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,775. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.19x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$1,775

Average discount available for prompt cash payment at this facility.

Insurance Median
$290

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: $1,775 (728%)
Insurance Median: $290 (119%)
Cash: $1,775 (728% of Medicare)
Ins. Median: $290 (119% 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
Medicaid / KanCare $84 - $366 34%
UnitedHealthcare $84 - $5,916 34%
Amerigroup $181 74%
Tricare $211 87%
Veterans Eval Services $216 89%
Node Champva $223 91%
Triwest $227 93%
Blue Cross Blue Shield $228 - $1,029 94%
Humana $228 - $1,302 94%
Medicare (plans) $228 94%
Node Bluecare Plus Tn Mcr Adv $228 94%
Node Hospice Non Par Agree $232 95%
Node Va $232 95%
Node Wellcare Mcr Adv $232 95%
Node Devoted Health Mcr Adv $233 96%
Node Farm Bureau Mcr Adv $233 96%
Aetna $235 - $3,680 96%
Node Blueadvantage Mcr Adv $235 96%
Node Healthspring Mcr Adv $235 96%
Node Amerigroup Mcr Adv $240 98%
Windsor Health Plan $240 98%
Node Nhc Mcr Adv $251 103%
Node Us Dept Of Labor $290 119%
Cigna $317 130%
Bluecare $344 - $388 141%
Novanet Work Comp Tn $359 147%
Tn Work Comp $363 149%
Wellcare $366 150%
Ambetter / Centene $429 176%
Node Point Comfort Underwriters $510 209%
Self Pay $1,699 697%
Multiplan Complementary $4,496 1844%
Beech Street Work Comp Tn $36,200 14850%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals