CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Longmont United Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $530
  • Cash Discount Price: $2,888
  • vs. Medicare Baseline: 2.17x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Longmont United Hospital is $530. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,888. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.17x the Medicare baseline. Located in 1950 Mountain View Ave, Longmont, CO.
Cash / Self-Pay
$2,888

Average discount available for prompt cash payment at this facility.

Insurance Median
$530

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: $2,888 (1185%)
Insurance Median: $530 (217%)
Cash: $2,888 (1185% of Medicare)
Ins. Median: $530 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
Aetna $133 - $6,498 55%
Blue Cross Blue Shield $133 - $6,354 55%
Cigna $133 - $585 55%
Denver Health $133 - $1,704 55%
Devoted Health $133 55%
Humana $133 55%
Innovage $133 55%
Kaiser $133 - $2,375 55%
Medicare (plans) $133 55%
True Pace $133 55%
UnitedHealthcare $133 - $518 55%
Direct To Employer $461 - $2,888 189%
United Colorado Doctor'S Plan $518 212%
Centura Employee Plan $543 223%
Multiplan $5,343 2192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1950 Mountain View Ave, Longmont, CO 80501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals