CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Saint Agnes Medical Center

Billing Code: 70551 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$78

about 0.3× the $244 Medicare rate · typically $57–$178

modeled estimate · not a bill or quote

What this hospital charges insurers

$59

Below the fair price — a good deal

about $19 under the fair price · 0.2× Medicare

Medicare pays $244 Fair price $78 This hospital $59 Cash price $176 Hospital's list price $176

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Lowest price of the 9 CA hospitals we have prices for — a strong deal.

Cheapest $59 Priciest $181

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (no contrast) is about $78 (about 0.3× the $244 Medicare rate). Saint Agnes Medical Center charges insurers about $59, or about $176 in cash — below the fair price — a good deal. Located in Fresno, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$59 - $1,241	24%
Blue Cross Blue Shieldmajor	$57 - $2,439	23%
Aetnamajor	$59 - $2,966	24%
Cignamajor	$59 - $3,324	24%
Humanamajor	$59 - $316	24%
Kaiser Permanentemajor	$111 - $537	46%
Ambetter (Centene)	$59	24%
Clover Health	$68	28%
GEHA	$109 - $1,241	45%
Health Net	$59 - $3,509	24%
HealthPartners	$59	24%
Meridian	$59 - $68	24%
Molina	$59	24%
Paramount	$59	24%
Presbyterian	$59 - $68	24%
Tufts Health Plan	$59	24%
WellMed	$68	28%
WellSense	$59	24%
+ 345 smaller / regional plans	$49 - $3,324

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 176), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70551.

Insurance Before you use insurance

Call your insurance company to confirm Saint Agnes Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70551.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Agnes Medical Center

Compare: MRI, brain (no contrast) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.