CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Snoqualmie Valley Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $587
Cash Discount Price: $1,694
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Snoqualmie Valley Hospital is $587. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,694. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.41x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$1,694

Average discount available for prompt cash payment at this facility.

Insurance Median

$587

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: $1,694 (695%)

Insurance Median: $587 (241%)

Cash: $1,694 (695% of Medicare)

Ins. Median: $587 (241% 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 241% of the Medicare baseline (a markup of 141%). 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
Community Health Plan Of Wa Mcd Rep	$119 - $2,363	49%
Medicaid / KanCare	$119 - $2,363	49%
UnitedHealthcare	$119 - $4,656	49%
Amerigroup Wellpoint	$127 - $2,505	52%
Washington Coordinated Care	$129 - $2,552	53%
Molina Healthcare Of Washington Mcd Rep	$131 - $2,552	54%
Blue Shield Of Wa Regence Mcr Adv	$225 - $2,154	92%
Community Health Plan Of Wa	$225 - $2,176	92%
Medicare (plans)	$225 - $2,133	92%
Molina Healthcare Of Washington Mcr Adv	$225 - $2,133	92%
Molina Healthcare Of Washington	$230 - $2,176	94%
Aetna	$259 - $2,941	106%
Blue Cross Blue Shield	$276 - $3,037	113%
Blue Shield Of Wa Regence	$283 - $461	116%
First Choice Health Network	$303 - $3,543	124%
Humana	$331 - $2,154	136%
Kaiser Foundation Health Plan Of The Northwest	$490 - $3,187	201%
Cigna	$623 - $4,049	256%

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 $1,694.
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 Snoqualmie Valley 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.