CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Adventist Health Ukiah Valley

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,961
  • Cash Discount Price: $730
  • vs. Medicare Baseline: 8.04x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Adventist Health Ukiah Valley is $1,961. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $730. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.04x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.
Cash / Self-Pay
$730

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,961

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: $730 (299%)
Insurance Median: $1,961 (804%)
Cash: $730 (299% of Medicare)
Ins. Median: $1,961 (804% 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 804% of the Medicare baseline (a markup of 704%). 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
Cigna $39 - $3,795 16%
Blue Shield Mcr Adv $69 - $329 28%
Kaiser Mcr Adv $69 - $329 28%
Tricare $69 - $329 28%
Ah Employee Health Plan - All Plans $76 - $592 31%
UnitedHealthcare $93 - $4,067 38%
Healthnet-All Plans $101 - $2,783 41%
Western Growers-All Plans $102 - $2,043 42%
Blue Shield Epn-All Other Plans $127 - $1,854 52%
Blue Shield Non-Epn $134 - $1,878 55%
Mendocino Lcc District-All Plans $178 - $3,162 73%
Kaiser Medi-Cal $190 - $439 78%
Medi-Cal $190 - $439 78%
Kaiser-All Other Plans $219 - $3,892 90%
Three Rivers-All Plans $247 - $4,378 101%
Aetna $335 - $2,189 137%
Blue Cross Blue Shield $1,540 - $2,053 632%
Foundation For Medical Care-All Plans $2,737 - $3,649 1123%
Networks By Design-All Plans $2,919 - $3,892 1197%
Phcs Multiplan-All Plans $2,919 - $3,892 1197%
Interplan-All Plans $2,992 - $3,989 1227%
Beech Street-All Plans $3,102 - $4,135 1273%
Choice Care-All Plans $3,102 - $4,135 1273%
Health Mgmt Network-All Plans $3,102 - $4,135 1273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 Hospital Drive, Ukiah, CA 95482
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals