CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Tomah Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,189
Cash Discount Price: $1,468
vs. Medicare Baseline: 4.88x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Tomah Memorial Hospital is $1,189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,468. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.88x the Medicare baseline. Located in 501 Gopher Dr, Tomah, WI.

Cash / Self-Pay

$1,468

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,189

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: $1,468 (602%)

Insurance Median: $1,189 (488%)

Cash: $1,468 (602% of Medicare)

Ins. Median: $1,189 (488% 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 488% of the Medicare baseline (a markup of 388%). 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
UnitedHealthcare	$46 - $3,495	19%
Blue Cross Blue Shield	$65 - $3,410	27%
Group Hlth Mcr Adv - All Plans	$65 - $1,260	27%
Independent Care Mcr - All Other Plans	$65 - $1,260	27%
Quartz Mcr Adv	$65 - $1,260	27%
Security Hp Mcr Adv	$65 - $1,260	27%
Va Ccn - All Plans	$65 - $1,260	27%
Aetna	$75 - $3,151	31%
The Alliance - All Plans	$333 - $22,054	137%
Independent Care Mcaid	$385 - $410	158%
Managed Hlth Mcaid - All Plans	$385 - $410	158%
Quartz Mcaid	$385 - $410	158%
Security Hp Mcaid	$385 - $410	158%
Security Hp Comm - All Other Plans	$1,189 - $3,151	488%
Quartz Comm - All Other Plans	$1,259 - $3,336	516%
Humana	$1,260 - $3,429	517%
Cigna	$1,357 - $3,595	557%

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 $1,468.
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 Tomah Memorial 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.