CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sanford Luverne Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,424
Cash Discount Price: $2,939
vs. Medicare Baseline: 9.94x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Sanford Luverne Medical Center is $2,424. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,939. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.94x the Medicare baseline. Located in 1600 N Kniss Avenue P O Box 1019, Luverne, MN.

Cash / Self-Pay

$2,939

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,424

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: $2,939 (1206%)

Insurance Median: $2,424 (994%)

Cash: $2,939 (1206% of Medicare)

Ins. Median: $2,424 (994% 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 994% of the Medicare baseline (a markup of 894%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ucare	$254 - $3,228	104%
Blue Cross Blue Shield	$578 - $3,005	237%
Sanford Health Plan Align	$1,293	530%
Aetna	$1,400 - $3,193	574%
Health Partners	$1,400 - $2,939	574%
Medicare (plans)	$1,400	574%
UnitedHealthcare	$1,400 - $3,068	574%
Primewest	$1,427 - $1,738	585%
Sanford Health Plan	$1,969 - $2,316	808%
Security Health Plan	$2,021	829%
Medica	$3,229 - $3,476	1325%
Cigna	$3,307	1357%
First Choice Health Network	$3,307	1357%
Healthez	$3,307	1357%
Multiplan	$3,307	1357%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,939.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Luverne Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.