CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Middlesboro Arh Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$172
about 0.7× the $244 Medicare rate · typically $159–$223
modeled estimate · not a bill or quote
What this hospital charges insurers
$166
About the fair price
about $6 under the fair price · 0.7× Medicare
Medicare pays $244 Fair price $172 This hospital $166 Cash price $3,022 Hospital's list price $5,037

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 4 charge more and 4 charge less, among the 9 KY hospitals compared.

Cheapest $121 Priciest $215

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (no contrast) is about $172 (about 0.7× the $244 Medicare rate). Middlesboro Arh Hospital charges insurers about $166, or about $3,022 in cash — about the fair price. Located in Middlesboro, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $166 - $3,753 68%
Blue Cross Blue Shieldmajor $166 - $925 68%
Aetnamajor $166 - $4,684 68%
Humanamajor $166 - $925 68%
Molina $925 379%
WellCare $166 - $1,259 68%
+ 1 smaller / regional plan $3,022

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3600 West Cumberland Avenue, Middlesboro, KY 40965
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals