CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sanford Hillsboro

Billing Code: 70551 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$833

about 3.4× the $244 Medicare rate · typically $250–$1,770

modeled estimate · not a bill or quote

What this hospital charges insurers

$867

About the fair price

about $34 over the fair price · 3.6× Medicare

Medicare pays $244 Fair price $833 This hospital $867 Cash price $2,140 Hospital's list price $2,675

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

Highest price of the 9 ND hospitals we have prices for — worth calling around.

Cheapest $151 Priciest $867

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

A fair price for a MRI, brain (no contrast) is about $833 (about 3.4× the $244 Medicare rate). Sanford Hillsboro charges insurers about $867, or about $2,140 in cash — about the fair price. Located in Hillsboro, ND.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$1,321 - $2,234	542%
Blue Cross Blue Shieldmajor	$578 - $1,737	237%
Aetnamajor	$1,321 - $2,325	542%
Health Net	$2,408	988%
HealthPartners	$1,321 - $2,086	542%
Medica	$2,207 - $2,359	905%
Sanford Health Plan	$1,220 - $2,484	500%
Security Health Plan	$1,471	603%
UCare	$1,311 - $2,350	538%
+ 2 smaller / regional plans	$1,348 - $2,408

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 2,140), 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 Sanford Hillsboro 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 Sanford Hillsboro

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

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