CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mary Lanning Healthcare

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,194
Cash Discount Price: $2,393
vs. Medicare Baseline: 9.00x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mary Lanning Healthcare is $2,194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,393. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.00x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$2,393

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,194

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: $2,393 (982%)

Insurance Median: $2,194 (900%)

Cash: $2,393 (982% of Medicare)

Ins. Median: $2,194 (900% 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 900% of the Medicare baseline (a markup of 800%). 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
Tricare	$233	96%
Aetna	$248 - $2,340	102%
Blue Cross Blue Shield	$248 - $2,659	102%
Medica Mcr Adv	$248	102%
Ne Total Care Mcr Adv	$248	102%
UnitedHealthcare	$248 - $2,526	102%
Va Ccn - All Plans	$248	102%
Ambetter / Centene	$1,115	457%
Nhn/Mna-All Plans	$2,154	884%
Consociate Inc-All Plans	$2,234	916%
Medica-All Other Plans	$2,313	949%
Midlands Choice-All Plans	$2,393	982%
Provider Network Of America-All Plans	$2,393	982%
Multiplan-All Plans	$2,526	1036%
Workers Compensation-All Plans	$2,606	1069%

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 $2,393.
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 Mary Lanning Healthcare 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.