CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$272

about 1.1× the $244 Medicare rate · typically $246–$361

modeled estimate · not a bill or quote

What this hospital charges insurers

$271

About the fair price

about $1 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $272 This hospital $271 Cash price $1,085 Hospital's list price $3,545

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NH hospitals compared.

Cheapest $130 Priciest $807

Black dot = this hospital, among the 9 NH 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 $272 (about 1.1× the $244 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $271, or about $1,085 in cash — about the fair price. Located in Lebanon, NH.

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	$68 - $4,318	28%
Blue Cross Blue Shieldmajor	$68 - $4,899	28%
Aetnamajor	$70 - $4,891	29%
Cignamajor	$70 - $3,857	29%
Ambetter (Centene)	$71 - $582	29%
AmeriHealth	$113 - $637	46%
Harvard Pilgrim	$85 - $3,607	35%
MVP Health Care	$68 - $3,767	28%
Tufts Health Plan	$227 - $3,280	93%
WellCare	$70 - $281	29%
WellSense	$59 - $686	24%
+ 7 smaller / regional plans	$68 - $5,341

Excludes 3 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 1,085), 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 Mary Hitchcock Memorial Hospital 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 Mary Hitchcock Memorial Hospital

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

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