CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Butler County Health

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $4,238
Cash Discount Price: $4,616
vs. Medicare Baseline: 17.39x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Butler County Health is $4,238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,616. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.39x the Medicare baseline. Located in 372 South 9Th Street, David City, NE.

Cash / Self-Pay

$4,616

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,238

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: $4,616 (1894%)

Insurance Median: $4,238 (1739%)

Cash: $4,616 (1894% of Medicare)

Ins. Median: $4,238 (1739% 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 1739% of the Medicare baseline (a markup of 1639%). 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
UnitedHealthcare	$1,609 - $4,810	660%
Medica	$1,767 - $4,810	725%
Humana	$2,638 - $2,994	1082%
Ambetter / Centene	$4,108 - $4,663	1685%
Blue Cross Blue Shield	$4,108 - $4,827	1685%
Multiplan	$4,108 - $4,663	1685%
Nebraska Total Care	$4,108 - $4,663	1685%
Aetna	$4,190 - $4,756	1719%
Cigna	$4,238 - $4,810	1739%
Corvel	$4,238 - $4,810	1739%
Midlands Choice	$4,238 - $4,810	1739%
Three Rivers	$4,238 - $4,810	1739%

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 $4,616.
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 Butler County Health 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.