CMS Price Transparency Data

MRI, brain (no contrast)

Facility: St Charles Madras

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$343

about 1.4× the $244 Medicare rate · typically $277–$662

modeled estimate · not a bill or quote

What this hospital charges insurers

$299

Below the fair price — a good deal

about $44 under the fair price · 1.2× Medicare

Medicare pays $244 Fair price $343 This hospital $299 Cash price $2,344 Hospital's list price $2,930

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $299

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 $343 (about 1.4× the $244 Medicare rate). St Charles Madras charges insurers about $299, or about $2,344 in cash — below the fair price — a good deal. Located in Madras, 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	$703 - $2,708	288%
Blue Cross Blue Shieldmajor	$711 - $836	292%
Aetnamajor	$703 - $2,549	288%
Cignamajor	$703 - $1,846	288%
Humanamajor	$703	288%
Kaiser Permanentemajor	$525 - $2,538	215%
Devoted Health	$703	288%
Health Net	$703 - $2,754	288%
Moda Health	$568 - $2,520	233%
PacificSource	$236 - $1,603	97%
Providence Health Plan	$568 - $2,564	233%
UniCare	$703	288%
WellCare	$703	288%
+ 66 smaller / regional plans	$299 - $2,872

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

Excludes 5 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 2,344), 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 St Charles Madras 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 St Charles Madras

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

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