CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Johnston Memorial Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $317
  • Cash Discount Price: $605
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Johnston Memorial Hospital is $317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $605. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.30x the Medicare baseline. Located in 16000 Johnston Memorial Drive, Abingdon, VA.
Cash / Self-Pay
$605

Average discount available for prompt cash payment at this facility.

Insurance Median
$317

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: $605 (248%)
Insurance Median: $317 (130%)
Cash: $605 (248% of Medicare)
Ins. Median: $317 (130% 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
Amerigroup $231 - $242 95%
Aetna $233 - $2,573 96%
Blue Cross Blue Shield $233 - $953 96%
Humana $233 96%
Managed Medicaire $233 96%
Medicare (plans) $233 96%
Mountain Empire Pace $233 96%
Sentara Health $233 - $1,353 96%
United Mine Workers Of America $233 96%
UnitedHealthcare $233 - $4,033 96%
Molina Healthcare $242 - $317 99%
Cigna $244 - $1,025 100%
Devoted Health Plan $244 100%
Nhc Advantage $244 100%
Wellcare $247 101%
Optima Health $305 125%
Ambetter / Centene $508 208%
Medcost $1,412 579%
First Health Coventry $4,033 1654%
Seven Corners, Inc. $4,033 1654%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16000 Johnston Memorial Drive, Abingdon, VA 24211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals