CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $475
Cash Discount Price: $1,085
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mary Hitchcock Memorial Hospital is $475. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,085. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.95x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$1,085

Average discount available for prompt cash payment at this facility.

Insurance Median

$475

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: $1,085 (445%)

Insurance Median: $475 (195%)

Cash: $1,085 (445% of Medicare)

Ins. Median: $475 (195% 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.

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
Wellsense Health Plan	$59 - $686	24%
Blue Cross Blue Shield	$68 - $4,899	28%
Martin'S Point Generations Advantage	$68 - $270	28%
Mvp	$68 - $3,767	28%
UnitedHealthcare	$68 - $4,318	28%
Aetna	$70 - $3,947	29%
Cigna	$70 - $3,857	29%
Martin'S Point Health Care	$70 - $1,940	29%
Wellcare Health Plans	$70 - $281	29%
Ambetter / Centene	$71 - $582	29%
Harvard Pilgrim Health Care Of Ne	$85 - $3,607	35%
Beacon Health Strategies/Carelon	$110 - $686	45%
Amerihealth Caritas Nh	$113 - $637	46%
Granite State Health Plan	$113 - $708	46%
Mass General Brigham Health Plan	$198 - $3,497	81%
Tufts Health Plan	$227 - $3,280	93%
Maine Community Health Options	$935 - $4,132	384%
Coventry	$1,277 - $4,891	524%
First Health/Hcvm	$1,277 - $4,891	524%
Phcs	$1,321 - $5,060	542%
Corvel	$1,351 - $5,172	554%
Ccmsi	$1,395 - $5,341	572%

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 $1,085.
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 Hitchcock Memorial Hospital 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.