MRI, brain (no contrast)
Facility: Minneola District Hospital
Billing Code: 70551 (CPT)
- CPT Billing Code: 70551
- Insurance Median: $582
- Cash Discount Price: $326
- vs. Medicare Baseline: 2.39x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 239% of the Medicare baseline (a markup of 139%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Va Community Care Program-All Plans | $65 - $502 | 27% |
| UnitedHealthcare | $65 - $750 | 27% |
| Humana | $65 - $502 | 27% |
| Providrs Care Network-All Plans | $191 - $638 | 78% |
| Aetna | $191 - $750 | 78% |
| Medicaid / KanCare | $191 - $750 | 78% |
| Blue Cross Blue Shield | $526 | 216% |
| Corporate Plan Management-All Plans | $638 | 262% |
| Triwest-All Plans | $675 | 277% |
| Preferred Health Care (Coventry)-All Other Plans | $675 | 277% |
| Phc (Coventry) Leased Network | $712 | 292% |
| Health Partners Of Kansas-All Plans | $712 | 292% |
Consumer Guidance & Cost Commentary
For the MRI of the brain (no contrast) at Minneola District Hospital in Minneola, KS, the cash price is $326.00, which is lower than the facility's negotiated rates of $582.00 to $712.00 depending on the insurance plan. While the facility is a Critical Access Hospital owned by the Government - Hospital District or Authority, patients with high-deductible plans may find paying cash directly cheaper than using insurance, as the negotiated rates often exceed the cash price. It is important to note that commercial rates can sometimes be inflated by administrative costs and contract dynamics, making the cash price a more transparent baseline for comparison.
Before scheduling, patients should verify their specific plan's negotiated rate, as these vary significantly among the 12 payers listed, ranging from $65 to $750. If you are self-pay or have a high deductible, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you receive care from an out-of-network provider at this in-network facility, be aware of federal protections under the No Surprises Act that may prevent balance billing for emergency services, though it is still advisable to request an itemized bill to ensure no unbundled codes or services not rendered are included.