CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Northern Nevada Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,551
  • Cash Discount Price: $4,423
  • vs. Medicare Baseline: 10.46x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Northern Nevada Medical Center is $2,551. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,423. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.46x the Medicare baseline. Located in 2375 E Prater Way, Sparks, NV.
Cash / Self-Pay
$4,423

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,551

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: $4,423 (1814%)
Insurance Median: $2,551 (1046%)
Cash: $4,423 (1814% of Medicare)
Ins. Median: $2,551 (1046% 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 1046% of the Medicare baseline (a markup of 946%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $258 106%
Smart_Choice $258 106%
Silver_Summit $264 108%
Molina $266 109%
United_Healthcare $524 215%
Humana $1,140 - $1,382 468%
Aetna $1,404 - $3,375 576%
Prominence $1,971 - $2,541 809%
Sierra_Health_Options $2,048 - $2,640 840%
Cigna $2,077 - $3,861 852%
Nevada_Preferred_Providers $2,560 - $3,300 1050%
Business_Coalition $5,652 - $7,286 2319%
Multiplan $6,957 - $8,967 2854%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2375 E Prater Way, Sparks, NV 89434
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals