CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sycamore Shoals Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$311
about 1.3× the $244 Medicare rate · typically $244–$330
modeled estimate · not a bill or quote
What this hospital charges insurers
$330
About the fair price
about $19 over the fair price · 1.4× Medicare
Medicare pays $244 Fair price $311 This hospital $330 Cash price $605 Hospital's list price $4,033

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $65 Priciest $330

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (no contrast) is about $311 (about 1.3× the $244 Medicare rate). Sycamore Shoals Hospital charges insurers about $330, or about $605 in cash — about the fair price. Located in Elizabethton, TN.

What each insurance company pays

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

5 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 $216 - $4,033 89%
Blue Cross Blue Shieldmajor $223 - $928 91%
Aetnamajor $216 - $2,573 89%
Cignamajor $227 - $1,025 93%
Humanamajor $216 89%
Ambetter (Centene) $472 194%
Amerigroup $215 - $216 88%
Devoted Health $227 93%
Molina $225 - $343 92%
Sentara $216 - $1,122 89%
WellCare $229 - $4,033 94%
+ 3 smaller / regional plans $216 - $4,033
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals