CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Clarion Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$265

about 1.1× the $244 Medicare rate · typically $221–$362

modeled estimate · not a bill or quote

What this hospital charges insurers

$257

About the fair price

about $8 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $265 This hospital $257 Cash price $1,120 Hospital's list price $2,000

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $127 Priciest $257

Black dot = this hospital, among the 9 PA 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 $265 (about 1.1× the $244 Medicare rate). Clarion Hospital charges insurers about $257, or about $1,120 in cash — about the fair price. Located in Clarion, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$233	96%
Blue Cross Blue Shieldmajor	$230 - $680	94%
Aetnamajor	$240 - $1,780	98%
Cignamajor	$233 - $1,000	96%
AmeriHealth	$233 - $371	96%
Devoted Health	$246 - $800	101%
Geisinger	$244 - $405	100%
UPMC Health Plan	$258 - $1,415	106%
+ 8 smaller / regional plans	$233 - $1,500

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

Excludes 1 rental-network / third-party entry (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 1,120), 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 Clarion Hospital 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 Clarion Hospital

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

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