CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sanford Hospital Webster - Cah

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,791
Cash Discount Price: $3,007
vs. Medicare Baseline: 11.45x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Sanford Hospital Webster - Cah is $2,791. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,007. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.45x the Medicare baseline. Located in 1401 W First St Post Office Box 489, Webster, SD.

Cash / Self-Pay

$3,007

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,791

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%)

Cash / Self-Pay: $3,007 (1234%)

Insurance Median: $2,791 (1145%)

Cash: $3,007 (1234% of Medicare)

Ins. Median: $2,791 (1145% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1145% of the Medicare baseline (a markup of 1045%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Sanford Health Plan Align	$1,180	484%
Ucare	$1,267 - $3,303	520%
Wellmark Sd	$1,267	520%
Aetna	$1,278 - $3,267	524%
Health Partners	$1,278 - $2,819	524%
Medicare (plans)	$1,278	524%
UnitedHealthcare	$1,278 - $3,139	524%
Primewest	$1,302	534%
Sanford Health Plan	$2,060 - $2,763	845%
Security Health Plan	$2,067	848%
Medica	$3,101 - $3,315	1272%
Wellmark	$3,233 - $3,270	1326%
First Choice Health Network	$3,383	1388%
Healthez	$3,383	1388%
Multiplan	$3,383	1388%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,007.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Hospital Webster - Cah is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.