CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Baptist Memorial Rehabilitation Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $676
  • Cash Discount Price: $676
  • vs. Medicare Baseline: 2.77x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Baptist Memorial Rehabilitation Hospital is $676. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $676. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.77x the Medicare baseline. Located in 1240 South Germantown Road, Germantown, TN.
Cash / Self-Pay
$676

Average discount available for prompt cash payment at this facility.

Insurance Median
$676

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: $676 (277%)
Insurance Median: $676 (277%)
Cash: $676 (277% of Medicare)
Ins. Median: $676 (277% 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 277% of the Medicare baseline (a markup of 177%). 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
Aetna $676 277%
Ambetter / Centene $676 277%
Blue Cross Blue Shield $676 277%
Humana $676 277%
Qualchoice (Hmo) / Qca Health Plan, Inc $676 277%
Vaccn (Veterans Affairs Community Care Network) $676 277%
Vacn-Com $676 277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1240 South Germantown Road, Germantown, TN 38138
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL