CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Gunnison Valley Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $348
Cash Discount Price: $1,058
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Gunnison Valley Hospital is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,058. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.43x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$1,058

Average discount available for prompt cash payment at this facility.

Insurance Median

$348

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: $1,058 (434%)

Insurance Median: $348 (143%)

Cash: $1,058 (434% of Medicare)

Ins. Median: $348 (143% 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.

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
Cigna	$61 - $2,084	25%
Medicare (plans)	$68 - $1,042	28%
Aetna	$99 - $2,042	41%
Apostrophe-All Plans	$112 - $1,914	46%
Gunnison County Sheriff Op & Profee Only	$186 - $1,092	76%
Ebms Hdhp	$218 - $1,276	89%
Tetwp Op & Profee Only-All Plans	$218 - $1,276	89%
U Of Co Transplant-All Plans	$218 - $1,276	89%
Medicaid / KanCare	$219 - $326	90%
Ebms Ppo Plan-All Other Plans	$254 - $1,489	104%
Gunnison County Employees-All Other Plans	$290 - $1,702	119%
Scottish Rites-All Plans	$290 - $1,702	119%
Elap Employers-All Plans	$308 - $1,808	126%
Blue Cross Blue Shield	$318 - $1,865	130%
Multiplan-All Plans	$326 - $1,978	134%
Rocky Mountain Health-All Plans	$344 - $2,021	141%
UnitedHealthcare	$344 - $2,021	141%
Cofinity-All Plans	$348 - $2,042	143%
Gunnison County Coroner Op Only	$1,092	448%

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 $1,058.
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 Gunnison Valley 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.