CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sunrise Hospital and Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $181
  • Cash Discount Price: $640
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Sunrise Hospital and Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $640. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.74x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$640

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $640 (263%)
Insurance Median: $181 (74%)
Cash: $640 (263% of Medicare)
Ins. Median: $181 (74% 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.

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
United $48 - $2,080 20%
Humana $50 - $582 21%
Amerigroup $57 - $258 23%
Health Plan Nevada $57 - $271 23%
Molina $60 - $285 25%
Silver Summit $60 - $285 25%
Blue Cross Blue Shield $66 - $271 27%
Healthcare Partners Of Nv $66 - $261 27%
Aetna $67 - $1,292 27%
Alignment Health Plan $67 - $193 27%
Caremore $70 - $203 29%
Multiplan $72 - $7,264 30%
Community Care Health $76 - $258 31%
Molina Healthcare $76 - $268 31%
Sierra Hpn $76 - $258 31%
Hometown Health Providers $77 - $352 32%
Culinary Health Fund $78 - $799 32%
Ambetter / Centene $80 - $2,090 33%
Cigna $84 - $1,214 34%
Sierra $88 - $518 36%
Select Health $136 - $2,293 56%
Legacy Provider Network $2,025 831%
Corvel $2,138 - $2,260 877%
Comp-Med Workers Comp $2,182 895%
Olympus Medsave Usa $2,250 - $7,462 923%
Prominence Healthfirst $2,985 1225%
Cmn Global $4,179 1714%
Nv Health & Welfare Trust $5,970 2449%
First Health $6,567 - $7,960 2694%
Medcare International $7,462 3061%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals