CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,058
Cash Discount Price: $1,741
vs. Medicare Baseline: 8.44x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Holy Cross Hospital - Salt Lake is $2,058. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,741. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.44x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$1,741

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,058

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: $1,741 (714%)

Insurance Median: $2,058 (844%)

Cash: $1,741 (714% of Medicare)

Ins. Median: $2,058 (844% 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 844% of the Medicare baseline (a markup of 744%). 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
Denver Health	$100	41%
Health Choice	$100	41%
Medicaid / KanCare	$100	41%
Rocky Mountain Health Plan	$100	41%
Uuhp	$100 - $989	41%
Humana	$115	47%
Medicare (plans)	$115	47%
Employer Direct Healthcare	$145	59%
Motivhealth	$153	63%
Blue Cross Blue Shield	$233 - $2,611	96%
Molina	$270 - $1,869	111%
Cigna	$490 - $3,481	201%
Centura Employee Plan	$543	223%
UnitedHealthcare	$550	226%
Pehp	$1,858 - $4,352	762%
Aetna	$1,923 - $3,677	789%
Wise	$2,263 - $2,306	928%
Deseret Mutual Benefit Administrators	$2,672	1096%
Select Health	$2,880	1181%
Multiplan	$3,003 - $3,960	1232%
Emi Health	$4,352	1785%

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 $1,741.
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 Holy Cross Hospital - Salt Lake 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.