CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $239
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Southeast Iowa Regional Medical Center is $239. 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 0.98x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $239 (98%)
Ins. Median: $239 (98% 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
American Healthplan Of Iowa - Midlevel $54 - $101 22%
Medicaid / KanCare $61 - $330 25%
Humana $68 - $123 28%
Aetna $71 - $138 29%
American Healthplan Of Iowa - Md $71 - $128 29%
UnitedHealthcare $102 - $185 42%
Plain Church $136 - $1,916 56%
Midlands Choice $148 - $2,653 61%
Blue Cross Blue Shield $155 - $840 64%
Absolute Solutions $189 - $476 78%
First Agency $189 - $476 78%
Multiplan $189 - $476 78%
Henderson County $200 - $503 82%
Wellpoint (Amerigroup) $1,651 677%
Immugrun $1,857 762%
Brighton Amish Church $1,916 786%
6 Degree $2,358 967%
Geha $2,742 1125%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals