CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $528
Cash Discount Price: $2,640
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Univ. of Vermont - Fletcher Allen Health Care is $528. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,640. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.17x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$2,640

Average discount available for prompt cash payment at this facility.

Insurance Median

$528

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: $2,640 (1083%)

Insurance Median: $528 (217%)

Cash: $2,640 (1083% of Medicare)

Ins. Median: $528 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
Blue Cross Blue Shield	$33 - $5,111	14%
UnitedHealthcare	$46 - $5,197	19%
Aetna	$66 - $244	27%
Capital District Physicians' Health Plan	$66 - $3,954	27%
Humana	$66 - $1,478	27%
Martins Point	$66 - $250	27%
St. Regis	$66 - $244	27%
Veterans Affairs Community Care Network	$66 - $244	27%
Mvp	$67 - $4,529	27%
Fidelis Care	$76 - $268	31%
Wellpath	$92 - $2,903	38%
Ebpa	$245 - $4,540	101%
Harvard Pilgrim	$254 - $4,223	104%
Magnacare	$254 - $4,223	104%
Coventry	$270 - $4,487	111%
Nppn	$286 - $4,751	117%
Cigna	$296 - $4,751	121%

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 $2,640.
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 Univ. of Vermont - Fletcher Allen Health Care 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.