CMS Price Transparency Data

MRI, brain (no contrast)

Facility: East Morgan County Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $470
  • Cash Discount Price: $660
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at East Morgan County Hospital is $470. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $660. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.93x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$660

Average discount available for prompt cash payment at this facility.

Insurance Median
$470

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: $660 (271%)
Insurance Median: $470 (193%)
Cash: $660 (271% of Medicare)
Ins. Median: $470 (193% 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.

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
Pinnacol Assurance Workers Comp $64 - $791 26%
Aetna $66 - $1,746 27%
Banner Health $66 - $807 27%
Blue Cross Blue Shield $66 - $2,057 27%
Clear Spring Health $66 - $807 27%
Healthspring Life & Health Insurance Company, Inc. $66 - $807 27%
Medica $66 - $1,564 27%
Medicare (plans) $66 - $807 27%
Triwest Healthcare Alliance Corp - Va Ccn $66 - $807 27%
UnitedHealthcare $66 - $1,746 27%
Longevity $68 - $831 28%
Humana $70 - $856 29%
Devoted Health Services $72 - $888 30%
Assist Health Group $79 - $969 32%
Denver Health Medical Plan $122 - $1,502 50%
Apostrophe, Inc. $138 - $1,689 57%
First Choice Health Network $138 - $1,689 57%
Hue Health, Inc $145 - $1,783 59%
Rocky Mountain Health Plans $145 - $1,783 59%
Multiplan $148 - $1,821 61%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals