CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lewisgale Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $4,708
  • Cash Discount Price: $7,847
  • vs. Medicare Baseline: 19.31x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lewisgale Medical Center is $4,708. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,847. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 19.31x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$7,847

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,708

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: $7,847 (3219%)
Insurance Median: $4,708 (1931%)
Cash: $7,847 (3219% of Medicare)
Ins. Median: $4,708 (1931% 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 1931% of the Medicare baseline (a markup of 1831%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $310 - $1,020 127%
United $518 - $3,531 212%
Cigna $1,365 560%
Lifeworks $1,491 612%
Universal Healthcare Group $1,726 708%
Virginia Health Network $2,746 - $5,571 1126%
Aetna $2,994 - $4,644 1228%
Naphcare $3,924 1610%
Greenvbrier Sporting Club $4,708 1931%
Graham-White Manufacturing $5,493 2253%
Richfield Nursing Center $5,493 2253%
Corvel $5,650 2318%
Community Care Network $5,885 2414%
Richfield Retirement Community $5,885 2414%
Csx Hotels $6,278 2575%
Occunet Workers Comp $6,278 2575%
One Health Plan $6,278 2575%
Patients Choice $6,905 2833%
4Most $7,062 2897%
Alleghany Highland Community $7,062 2897%
American Postal Workers Union $7,062 2897%
C&O Employees Hospital Assn $7,062 2897%
Multiplan $7,062 2897%
Phcs $7,062 2897%
Star Transportation $7,062 2897%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals