CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Frye Regional Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $617
Cash Discount Price: $2,630
vs. Medicare Baseline: 2.53x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Frye Regional Medical Center is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,630. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.53x the Medicare baseline. Located in 420 N Center St, Hickory, NC.

Cash / Self-Pay

$2,630

Average discount available for prompt cash payment at this facility.

Insurance Median

$617

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: $2,630 (1079%)

Insurance Median: $617 (253%)

Cash: $2,630 (1079% of Medicare)

Ins. Median: $617 (253% 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 253% of the Medicare baseline (a markup of 153%). 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
Veteran Family Member Program	$221	91%
UnitedHealthcare	$224 - $663	92%
Humana	$227 - $507	93%
Aetna	$232 - $673	95%
Cigna	$564 - $572	231%
Sherrill Furniture	$599	246%
Craftmaster Furniture	$617	253%
Hickory Chair	$617	253%
Rhf Investments	$617	253%
Samson Holding	$617	253%
Blue Cross Blue Shield	$650 - $1,087	267%
Vaya Health	$650	267%
Amerihealth Caritas North Carolina	$663	272%
Carolina Complete Health Inc.	$663	272%
Partners Health Management	$663	272%
Wellcare Of North Carolina, Inc	$670	275%
Ambetter / Centene	$750	308%
Luminare Health	$3,267	1340%

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 $2,630.
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 Frye Regional 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.