CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Harrison Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $3,431
Cash Discount Price: $2,404
vs. Medicare Baseline: 14.07x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Harrison Medical Center is $3,431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,404. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.07x the Medicare baseline. Located in 1800 Nw Myhre Rd, Silverdale, WA.

Cash / Self-Pay

$2,404

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,431

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: $2,404 (986%)

Insurance Median: $3,431 (1407%)

Cash: $2,404 (986% of Medicare)

Ins. Median: $3,431 (1407% 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 1407% of the Medicare baseline (a markup of 1307%). 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
Kaiser	$282 - $913	116%
Chpw	$282	116%
UnitedHealthcare	$285	117%
Blue Cross Blue Shield	$290 - $1,063	119%
Aetna	$290 - $4,793	119%
Wellcare	$290	119%
Humana	$301	123%
United	$304 - $4,630	125%
Molina	$304 - $648	125%
Sound Family Medicine	$563	231%
Coordinated Care	$659	270%
Uniform Medical Plan	$678	278%
Cigna	$1,012 - $3,431	415%
First Choice	$3,976	1631%
Multiplan	$4,902	2011%

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 $2,404.
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 Harrison Medical Center 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.