CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lower Umpqua Hospital District

Billing Code: 70551 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$164

about 0.7× the $244 Medicare rate · typically $107–$1,734

modeled estimate · not a bill or quote

What this hospital charges insurers

$108

Below the fair price — a good deal

about $56 under the fair price · 0.4× Medicare

Medicare pays $244 Fair price $164 This hospital $108 Cash price $726 Hospital's list price $1,345

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 7 of 8 other OR hospitals charge more for the same procedure.

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 $164 (about 0.7× the $244 Medicare rate). Lower Umpqua Hospital District charges insurers about $108, or about $726 in cash — below the fair price — a good deal. Located in Reedsport, OR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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	$66 - $2,147	27%
Blue Cross Blue Shieldmajor	$116 - $2,290	48%
Cignamajor	$108 - $2,004	44%
Health Net	$66 - $2,242	27%

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 726), 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 Lower Umpqua Hospital District 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 Lower Umpqua Hospital District

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

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