CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lehigh Valley Hospital - Hazleton

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $437
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lehigh Valley Hospital - Hazleton is $437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.79x the Medicare baseline. Located in 700 East Broad Street, Hazleton, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$437

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%)
Insurance Median: $437 (179%)
Ins. Median: $437 (179% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Geisinger $244 - $538 100%
Highmark Blue Shield $244 - $840 100%
Amerihealth $246 101%
Cigna $246 - $622 101%
UnitedHealthcare $248 - $857 102%
Aetna $251 - $1,324 103%
Jefferson Health Partners $251 - $478 103%
Devoted Health $253 104%
Humana $253 104%
Upmc $253 - $1,163 104%
Emblem $258 - $1,065 106%
Gateway $259 106%
Pa Health & Wellness (Allwell) $263 108%
Amerihealth Caritas $388 159%
Highmark Wholecare/Gateway $429 176%
Pa Health & Wellness $456 187%
Ambetter / Centene $724 297%
Valley Preferred $1,392 571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 East Broad Street, Hazleton, PA 18201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals