CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Banner Lassen Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $3,655
  • Cash Discount Price: $2,251
  • vs. Medicare Baseline: 14.99x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Banner Lassen Medical Center is $3,655. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,251. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.99x the Medicare baseline. Located in 1800 Spring Ridge Drive, Susanville, CA.
Cash / Self-Pay
$2,251

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,655

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: $2,251 (923%)
Insurance Median: $3,655 (1499%)
Cash: $2,251 (923% of Medicare)
Ins. Median: $3,655 (1499% 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 1499% of the Medicare baseline (a markup of 1399%). 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
Blue Cross Blue Shield $48 20%
Partnership Healthplan Of Ca $314 129%
Banner Health $1,594 654%
UnitedHealthcare $1,594 - $3,616 654%
Network Providers, Llc $2,072 850%
Imperial Health Plan Of California, Inc $2,152 883%
Blue Shield Of California $3,383 1388%
Multiplan $3,499 1435%
Cigna $3,694 1515%
Coventry $3,732 1531%
First Health $3,732 1531%
Health Net $3,771 1547%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Spring Ridge Drive, Susanville, CA 96130
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals