CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Bob Wilson Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,756
  • Cash Discount Price: $1,350
  • vs. Medicare Baseline: 11.31x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Bob Wilson Memorial Hospital is $2,756. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,350. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.31x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$1,350

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,756

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: $1,350 (554%)
Insurance Median: $2,756 (1131%)
Cash: $1,350 (554% of Medicare)
Ins. Median: $2,756 (1131% 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 1131% of the Medicare baseline (a markup of 1031%). 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
Centura Employee Plan $543 223%
Blue Cross Blue Shield $737 302%
Kansas Health $1,080 443%
Aetna $1,080 - $2,699 443%
Humana $1,080 443%
Medicare (plans) $1,080 443%
UnitedHealthcare $1,080 - $2,814 443%
Multiplan $3,036 - $3,138 1245%
Health Partners Of Kansas $3,171 1301%
Wppa $3,205 1315%

Consumer Guidance & Cost Commentary

For this MRI of the brain (no contrast) at Bob Wilson Memorial Hospital in Ulysses, Kansas, the facility's cash price is $1,350, which is significantly lower than the state average of $3,374. While commercial insurance plans like Aetna and UnitedHealthcare have negotiated rates ranging from $1,080 to $2,814, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and seeking a prompt-pay discount. It is important to note that Medicare allows a payment of only $243.77 for this service, highlighting the substantial markup found in commercial billing structures. Since the facility is a Critical Access Hospital owned by a voluntary non-profit church, patients should explicitly ask about self-pay or prompt-pay discounts before scheduling to ensure they are not billed the full negotiated rate.

Patients should be aware that commercial insurance rates can sometimes be higher than cash prices due to administrative costs and contract dynamics, even when the facility is in-network. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, where the provider bills you for the difference between their full charge and what your insurance pays. However, the No Surprises Act protects you from balance billing for emergency care and non-emergency services at in-network facilities. To avoid surprise costs, always request a full itemized bill before paying, as summary bills can hide unbundled codes or services not rendered. If you believe you are being overcharged, dispute the bill in writing with the billing supervisor rather than accepting the summary invoice or signing away your rights via consent waivers.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals