CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lincoln Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,910
Cash Discount Price: $2,155
vs. Medicare Baseline: 7.84x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lincoln Hospital is $1,910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,155. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.84x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$2,155

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,910

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: $2,155 (884%)

Insurance Median: $1,910 (784%)

Cash: $2,155 (884% of Medicare)

Ins. Median: $1,910 (784% 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 784% of the Medicare baseline (a markup of 684%). 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
Labor & Industries - All Plans	$124	51%
Ambetter / Centene	$1,121	460%
Molina Hlthy Options	$1,121	460%
UnitedHealthcare	$1,121 - $2,108	460%
Amerigroup Mcaid - All Plans	$1,188	487%
Aetna	$1,341 - $2,275	550%
Indian Hlth Services - All Plans	$1,341	550%
Tricare	$1,341	550%
Va Ccn - All Plans	$1,341	550%
Cigna	$1,827	749%
Molina Exchange-All Other Plans	$1,904	781%
Focus Healthcare Mgmt - All Plans	$1,916	786%
Blue Cross Blue Shield	$2,108	865%
Uniform Medical Plan-All Plans	$2,108	865%
First Health Coventry-All Plans	$2,132	875%
Health Management Network-All Plans	$2,155	884%
Three Rivers-All Plans	$2,155	884%
Asuris Nw Health-All Plans	$2,203	904%
Multiplan-All Plans	$2,275	933%
Physician Hosp Comm Org-All Plans	$2,275	933%
First Choice Health- All Plans	$2,323	953%

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 $2,155.
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 Lincoln Hospital 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.