CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,101
Cash Discount Price: Unavailable
vs. Medicare Baseline: 8.62x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Intermountain Health St. Mary's Regional Hospital is $2,101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.62x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,101

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%)

Insurance Median: $2,101 (862%)

Ins. Median: $2,101 (862% 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 862% of the Medicare baseline (a markup of 762%). 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
Select Health	$243	100%
UnitedHealthcare	$243 - $2,458	100%
Blue Cross Blue Shield	$969 - $1,994	398%
Monument Health	$1,395	572%
Cigna	$1,720 - $1,993	706%
Allegiance	$1,993	818%
Aetna	$2,101 - $2,463	862%
Kaiser Perm Ppo/Pos	$2,261	928%
Geha	$2,332 - $2,458	957%
Meritain Health	$2,332	957%
Humana	$2,452	1006%
Cofinity	$2,463	1010%
First Health Network	$2,463	1010%
Private Hlthcare Sys	$2,591	1063%
Public Employees Health	$2,703	1109%

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 $X.
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 Intermountain Health St. Mary's Regional Hospital 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.