CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sky Lakes Medical Center

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$271

about 1.1× the $244 Medicare rate · typically $263–$302

modeled estimate · not a bill or quote

What this hospital charges insurers

$269

About the fair price

about $2 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $271 This hospital $269 Cash price $2,579 Hospital's list price $3,438

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OR hospitals compared.

Cheapest $75 Priciest $295

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (no contrast) is about $271 (about 1.1× the $244 Medicare rate). Sky Lakes Medical Center charges insurers about $269, or about $2,579 in cash — about the fair price. Located in Klamath Falls, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$268 - $3,438	110%
Blue Cross Blue Shieldmajor	$268 - $3,438	110%
Aetnamajor	$268 - $3,438	110%
Cignamajor	$268 - $3,438	110%
Humanamajor	$268 - $3,438	110%
Kaiser Permanentemajor	$268 - $3,438	110%
GEHA	$3,438	1410%
Health Net	$3,438	1410%
HealthPartners	$3,438	1410%
Moda Health	$268 - $3,438	110%
MVP Health Care	$3,438	1410%
PacificSource	$268 - $3,094	110%
Providence Health Plan	$268 - $3,438	110%
Sanford Health Plan	$3,438	1410%
UPMC Health Plan	$3,438	1410%
WellCare	$268	110%
+ 201 smaller / regional plans	$268 - $3,438

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 19 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,579), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70551.

Insurance Before you use insurance

Call your insurance company to confirm Sky Lakes Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70551.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sky Lakes Medical Center

Compare: MRI, brain (no contrast) at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.