CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Boone Memorial Hospital

Billing Code: 70551 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$624

about 2.6× the $244 Medicare rate · typically $189–$862

modeled estimate · not a bill or quote

What this hospital charges insurers

$637

About the fair price

about $13 over the fair price · 2.6× Medicare

Medicare pays $244 Fair price $624 This hospital $637 Cash price $1,137 Hospital's list price $2,274

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Highest price of the 9 WV hospitals we have prices for — worth calling around.

Cheapest $53 Priciest $637

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (no contrast) is about $624 (about 2.6× the $244 Medicare rate). Boone Memorial Hospital charges insurers about $637, or about $1,137 in cash — about the fair price. Located in Madison, WV.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$637	261%
Aetnamajor	$637 - $2,160	261%
Cignamajor	$1,696	696%
Humanamajor	$624	256%

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,137), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70551.

Insurance Before you use insurance

Call your insurance company to confirm Boone Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70551.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Boone Memorial Hospital

Compare: MRI, brain (no contrast) at other WV hospitals

Insurance negotiated median for the same procedure, sorted lowest first.