CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Dickenson Community Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $801
  • Cash Discount Price: $594
  • vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Dickenson Community Hospital is $801. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $594. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.29x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.
Cash / Self-Pay
$594

Average discount available for prompt cash payment at this facility.

Insurance Median
$801

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: $594 (244%)
Insurance Median: $801 (329%)
Cash: $594 (244% of Medicare)
Ins. Median: $801 (329% 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 329% of the Medicare baseline (a markup of 229%). 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
UnitedHealthcare $305 - $2,581 125%
Optima Health $436 179%
Blue Cross Blue Shield $449 - $1,003 184%
Aetna $453 - $2,065 186%
Molina Healthcare $453 - $805 186%
Amerigroup $774 318%
Managed Medicaire $774 318%
Medicare (plans) $774 318%
Sentara Health $774 - $952 318%
United Mine Workers Of America $774 318%
Cigna $786 - $1,025 322%
Humana $787 323%
Devoted Health Plan $813 334%
Nhc Advantage $813 334%
Medcost $903 370%
Ambetter / Centene $955 392%
Seven Corners, Inc. $2,581 1059%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals