CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Incline Village Community Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $417
Cash Discount Price: $2,373
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Incline Village Community Hospital is $417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,373. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.71x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$2,373

Average discount available for prompt cash payment at this facility.

Insurance Median

$417

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: $2,373 (973%)

Insurance Median: $417 (171%)

Cash: $2,373 (973% of Medicare)

Ins. Median: $417 (171% 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
UnitedHealthcare	$61 - $3,880	25%
Blue Cross Blue Shield	$65 - $3,880	27%
Medicare (plans)	$67 - $1,681	27%
Healthnet - All Plans	$91 - $4,095	37%
Ca Hlth And Wellness - All Plans	$277 - $4,397	114%
Aetna	$382 - $3,794	157%
Prominence Healthfirst - All Plans	$382 - $3,794	157%
Admar Multiplan - All Plans	$391 - $3,880	160%
First Health - All Plans	$391 - $3,880	160%
Great West/One Health - All Plans	$391 - $3,880	160%
Hometown Hp - All Plans	$391 - $3,880	160%
Humana	$391 - $3,880	160%
Interplan - All Plans	$391 - $3,880	160%
Multiplan - All Plans	$391 - $3,880	160%
Phcs - All Plans	$391 - $3,880	160%
Cigna	$399 - $3,966	164%
Beech Street/Capp Care - All Plans	$412 - $4,095	169%
Uhn - All Plans	$412 - $4,095	169%
Sierra Health - All Plans	$421 - $4,182	173%

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 $2,373.
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 Incline Village Community 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.