CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Keokuk County Health Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $922
  • Cash Discount Price: $838
  • vs. Medicare Baseline: 3.78x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Keokuk County Health Center is $922. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $838. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.78x the Medicare baseline. Located in 23019 Highway 149, Sigourney, IA.
Cash / Self-Pay
$838

Average discount available for prompt cash payment at this facility.

Insurance Median
$922

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: $838 (344%)
Insurance Median: $922 (378%)
Cash: $838 (344% of Medicare)
Ins. Median: $922 (378% 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 378% of the Medicare baseline (a markup of 278%). 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
Wellmark_Insurance $720 - $922 295%
United_Healthcare_Insurance $838 - $922 344%
Aetna $922 - $1,017 378%
Humana $922 378%
Wellcare_Insurance $922 378%
Wellpoint_Insurance $922 - $958 378%
Iowa_Total_Care_Insurance $958 393%
Molina_Insurance $958 393%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 23019 Highway 149, Sigourney, IA 52591
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals