CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Essentia Health

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$247

about 1.0× the $244 Medicare rate · typically $241–$261

modeled estimate · not a bill or quote

What this hospital charges insurers

$242

About the fair price

about $5 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $247 This hospital $242 Cash price $2,223 Hospital's list price $2,964

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

One of the lower prices — 7 of 8 other ND hospitals charge more for the same procedure.

Cheapest $151 Priciest $867

Black dot = this hospital, among the 9 ND 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 $247 (about 1.0× the $244 Medicare rate). Essentia Health charges insurers about $242, or about $2,223 in cash — about the fair price. Located in Fargo, ND.

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✓ Cigna HumanaKaiser 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	$242 - $2,362	99%
Blue Cross Blue Shieldmajor	$242 - $2,001	99%
Aetnamajor	$2,519	1033%
Cignamajor	$1,986	815%
HealthPartners	$242 - $1,986	99%
Medica	$242 - $1,879	99%
Sanford Health Plan	$428 - $1,338	176%
Security Health Plan	$242	99%
UCare	$242 - $1,950	99%
+ 11 smaller / regional plans	$236 - $2,282

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,223), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70551.

Insurance Before you use insurance

Call your insurance company to confirm Essentia Health is in-network.
Ask your insurer whether prior approval is required for CPT code 70551.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Essentia Health

Compare: MRI, brain (no contrast) at other ND hospitals

Insurance negotiated median for the same procedure, sorted lowest first.