CPT70551

MRI Brain Without Contrast Cost

Mri brain stem w/o dye

$439Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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National Medicare physician rate (2026)

Medicare (Hospital)
$195.40
Facility physician fee
Private plan est.
$254–$391
~130–200% of Medicare
Cash / self-pay est.
$156–$293
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$323
$195 physician + $128 facility
Physician fee alone
$195
Only 44% of the hospital total

Choosing a surgery centre over a hospital saves about $116 on the Medicare allowed amount for mri brain without contrast. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Get the rate for your ZIP

CMS adjusts this CPT by locality. A five-digit ZIP is enough — no account, no insurance card.

What mri brain without contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

How CMS prices CPT 70551

CMS descriptionMri brain stem w/o dye
Work RVU1.44
Practice expense RVU (office)4.31
Practice expense RVU (hospital)4.31
Malpractice RVU0.10
Conversion factor$33.4009

Work is about 25% of the office total RVU; practice expense is about 74%. Localities with a high PE GPCI move this code more when practice expense is a large share.

Office vs hospital for this code

Office (non-facility) physician rate: $195.40. Hospital (facility) physician rate: $195.40.

Medicare patients typically owe 20% of the allowed amount after the Part B deductible — about $39 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.

Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.

What Is MRI Brain Without Contrast?

A brain MRI without contrast uses a powerful magnet and radio waves, no radiation, to produce detailed pictures of the brain. It is ordered for headaches with warning signs, dizziness, memory concerns, seizure evaluation, or suspected multiple sclerosis. You lie still inside the scanner tube for 20 to 40 minutes while it makes loud knocking sounds; earplugs are provided, and no needles are involved for this non-contrast version.

What Affects the Cost

  • Hospital-based MRI departments often charge several times what freestanding imaging centers charge for the identical scan.
  • The radiologist's interpretation fee is separate from the scan fee, and the two may come from different billers.
  • If the radiologist protocol adds contrast after reviewing initial images, the study converts to a costlier code and adds injection charges.
  • Claustrophobic patients who need sedation or an open-bore magnet add medication, monitoring, or specialty-equipment costs.
  • After-hours or stat interpretation requests can carry premium charges at some facilities.

How It Is Billed

This code has two components: the technical fee for running the scanner, billed by the facility, and the professional fee for the radiologist's reading; at freestanding centers these are often combined into one global charge, while hospitals bill them separately. CPT 70551 specifically means no contrast was given; if gadolinium is added the claim becomes 70553 (without, then with contrast) at a higher rate. No sedation, IV, or lab charges should appear on a routine non-contrast brain MRI.

Insurance & Coverage Notes

Nearly all commercial plans require prior authorization for brain MRI, usually processed through a radiology benefits manager, and scans done without approval are routinely denied in full. Plans increasingly steer members to freestanding centers, and some will not pay hospital rates for outpatient MRI at all without a documented reason. Medicare does not require prior authorization for MRI but pays 20 percent coinsurance under Part B unless you have a supplement.

Questions to Ask Before Booking

  • 1.Has prior authorization been approved, and for which specific facility?
  • 2.What is the price at a freestanding imaging center versus the hospital for this exact scan?
  • 3.Is the radiologist's reading fee included in the quote or billed separately?
  • 4.Could the protocol change to include contrast, and what would that cost?
  • 5.If I am claustrophobic, what would sedation or an open MRI add?

MRI Brain Without Contrast (CPT 70551): questions

The 2026 national Medicare physician rate for CPT 70551 is $195.40 in an office and $195.40 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.

For CPT 70551 the office and hospital physician rates are essentially the same ($195.40). The hospital will still usually add a separate facility fee that this page does not show.

A brain MRI without contrast uses a powerful magnet and radio waves, no radiation, to produce detailed pictures of the brain. It is ordered for headaches with warning signs, dizziness, memory concerns, seizure evaluation, or suspected multiple sclerosis. You lie still inside the scanner tube for 20 to 40 minutes while it makes loud knocking sounds; earplugs are provided, and no needles are involved for this non-contrast version. CMS bills it as “Mri brain stem w/o dye.”

Not on its own. $195.40 is the physician allowed amount. Medicare also pays the facility, which takes the total to about $439 in a hospital outpatient department or about $323 at an ambulatory surgery centre. Anesthesia, pathology and imaging interpretation billed under other codes are separate again. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.

For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.