CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Stafford Hospital, LLC

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $378
Cash Discount Price: $1,215
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Stafford Hospital, LLC is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,215. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.55x the Medicare baseline. Located in 101 Hospital Center Boulevard, Stafford, VA.

Cash / Self-Pay

$1,215

Average discount available for prompt cash payment at this facility.

Insurance Median

$378

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: $1,215 (498%)

Insurance Median: $378 (155%)

Cash: $1,215 (498% of Medicare)

Ins. Median: $378 (155% 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.

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
Humana	$234 - $331	96%
Molina	$243 - $344	100%
Kaiser	$250 - $354	103%
Aetna	$331 - $874	136%
Blue Cross Blue Shield	$331 - $528	136%
Sentara	$331 - $406	136%
UnitedHealthcare	$331 - $369	136%
Medcost	$538	221%
PHCS	$550	226%
Innovation	$880 - $968	361%
Cf	$1,457 - $1,586	598%

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 $1,215.
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 Stafford Hospital, LLC 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.