CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Springfield Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $711
Cash Discount Price: $644
vs. Medicare Baseline: 2.92x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Springfield Hospital is $711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $644. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.92x the Medicare baseline. Located in Po Box 2003, Springfield, VT.

Cash / Self-Pay

$644

Average discount available for prompt cash payment at this facility.

Insurance Median

$711

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: $644 (264%)

Insurance Median: $711 (292%)

Cash: $644 (264% of Medicare)

Ins. Median: $711 (292% 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 292% of the Medicare baseline (a markup of 192%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$143 - $2,610	59%
Mvp Health Plan	$143 - $2,010	59%
UnitedHealthcare	$143 - $2,349	59%
Wellsense	$143 - $2,610	59%
Harvard Pilgrim Health Care	$144 - $2,160	59%
Wellcare	$147 - $1,022	60%
Tufts Health Plan	$231 - $1,604	95%
Cigna	$264 - $2,714	108%
Multiplan	$312 - $2,166	128%
Aetna	$357 - $2,480	146%
Coventry	$357 - $2,480	146%
Beacon Health	$376 - $2,610	154%
Manage Behavioral Health	$376 - $2,610	154%
Martin'S Point Healthcare	$376 - $2,610	154%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $644.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Springfield Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.