CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lompoc Valley Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,053
Cash Discount Price: $1,756
vs. Medicare Baseline: 8.42x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lompoc Valley Medical Center is $2,053. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,756. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.42x the Medicare baseline. Located in 1515 E Ocean Avenue, Lompoc, CA.

Cash / Self-Pay

$1,756

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,053

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: $1,756 (720%)

Insurance Median: $2,053 (842%)

Cash: $1,756 (720% of Medicare)

Ins. Median: $2,053 (842% 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 842% of the Medicare baseline (a markup of 742%). 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
Aetna	$307 - $2,974	126%
Blue Cross Blue Shield	$307 - $1,584	126%
Blue_Shield	$307	126%
Coventry	$307 - $2,974	126%
Health_Net	$307	126%
Humana	$307	126%
Medicare (plans)	$307	126%
Sansum	$307	126%
UnitedHealthcare	$307 - $2,891	126%
Work_Comp	$368	151%
Magellan	$1,735 - $2,478	712%
Cigna	$2,429 - $3,131	996%
Blue_Shield_National	$2,503	1027%
Medi_Cal	$2,892 - $4,130	1186%
Tricare	$2,892 - $4,130	1186%

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 $1,756.
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 Lompoc Valley Medical Center 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.