CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Newport Community Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,372
Cash Discount Price: $2,790
vs. Medicare Baseline: 9.73x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Newport Community Hospital is $2,372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,790. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.73x the Medicare baseline. Located in 714 West Pine Street, Newport, WA.

Cash / Self-Pay

$2,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,372

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: $2,790 (1145%)

Insurance Median: $2,372 (973%)

Cash: $2,790 (1145% of Medicare)

Ins. Median: $2,372 (973% 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 973% of the Medicare baseline (a markup of 873%). 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
Pacificsource	$1,367	561%
Bcidaho	$1,381 - $2,372	567%
Molina	$1,381 - $2,092	567%
Wellcare	$1,381	567%
UnitedHealthcare	$1,437 - $2,650	589%
Wellpoint	$1,476	605%
Aetna	$2,176	893%
Premera	$2,372	973%
Cigna	$2,511	1030%
Multiplan	$2,567	1053%
Asuris	$2,650	1087%
Regence_Wa	$2,650	1087%
Firstchoice	$2,678	1099%

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 $2,790.
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 Newport Community 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.