CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Desert View Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,740
Cash Discount Price: $1,462
vs. Medicare Baseline: 7.14x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Desert View Hospital is $1,740. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,462. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.14x the Medicare baseline. Located in 360 South Lola Lane, Pahrump, NV.

Cash / Self-Pay

$1,462

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,740

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: $1,462 (600%)

Insurance Median: $1,740 (714%)

Cash: $1,462 (600% of Medicare)

Ins. Median: $1,740 (714% 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 714% of the Medicare baseline (a markup of 614%). 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
Silversummit	$258	106%
Smartchoice	$258	106%
Sr.Careplus	$585	240%
Humana	$672 - $2,192	276%
Ambetter / Centene	$1,023	420%
Hpn	$1,166	478%
Sierra	$1,166	478%
UnitedHealthcare	$1,166 - $1,634	478%
Cigna	$1,845	757%
Beechstreet	$2,193	900%
Coventry	$2,193	900%
Multiplan	$2,193	900%
Prominence	$2,193	900%
Aetna	$2,333	957%
Affiliated	$2,741	1124%
Blue Cross Blue Shield	$3,122	1281%

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 $1,462.
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 Desert View 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.