CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mountainview Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,294
Cash Discount Price: $10,391
vs. Medicare Baseline: 5.31x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mountainview Hospital is $1,294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,391. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.31x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$10,391

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,294

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: $10,391 (4263%)

Insurance Median: $1,294 (531%)

Cash: $10,391 (4263% of Medicare)

Ins. Median: $1,294 (531% 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 531% of the Medicare baseline (a markup of 431%). 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
Blue Cross Blue Shield	$69 - $256	28%
Ambetter / Centene	$80 - $2,182	33%
United	$167 - $2,265	69%
Sierra	$400	164%
Cigna	$1,214	498%
Aetna	$1,374	564%
Select Health	$2,244 - $2,395	921%
Corvel	$2,260	927%
Olympus Medsave Usa	$2,379 - $7,793	976%
Prominence Healthfirst	$3,117	1279%
Cmn Global	$4,364	1790%
Emerging Therapy Solutions	$5,092 - $6,962	2089%
Nv Health & Welfare Trust	$6,235	2558%
Multiplan	$6,546 - $7,585	2685%
First Health	$6,858 - $8,313	2813%
Medcare International	$7,793	3197%

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 $10,391.
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 Mountainview 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.