CPT70551

MRI Brain Without Contrast Cost in North Carolina

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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North Carolina Medicare physician rate (2026)

-5.6% vs national

Single statewide locality.

North Carolina (Hospital)
$184.54
Facility physician fee
Private plan est.
$240–$369
~130–200% of Medicare
Cash / self-pay est.
$148–$277
~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.

Your ZIP in North Carolina

Check your ZIP code for your region of North Carolina, whether Charlotte, Raleigh-Durham and the Triangle, the Triad, Asheville and the mountains, or Wilmington and the coastal east.

What mri brain without contrast costs at hospitals near you

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

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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.

National vs North Carolina

National office$195.40
National hospital (physician)$195.40
North Carolina vs national6% below the national office rate of $195.40

Where North Carolina ranks for this CPT

Rank (lowest physician fee first)#18 of 51
Lowest stateArkansas ($173.48)
Highest stateAlaska ($227.30)

MRI Brain Without Contrast and how North Carolina is priced

North Carolina's Medicare physician pricing comes from one statewide locality with indices just under the national average, so Charlotte, the Research Triangle, and the rural east and mountain west all share the same approved amounts. For a state with several fast-growing metros, the single-locality approach keeps the fee schedule simple even as local economies diverge. Nothing in the geographic adjustments distinguishes a Raleigh procedure from one in Boone or Greenville. As elsewhere, the office-versus-hospital setting decision moves prices more than geography within the state does.

North Carolina is unusually rich in academic medicine, with multiple nationally known university medical centers clustered in the Triangle and Winston-Salem, plus a major hospital system anchored in Charlotte that has grown across the Southeast. The rural east and the mountain counties are much thinner markets, and hospital consolidation has been reshaping who owns local care. Patients near the borders sometimes use Virginia or South Carolina providers.

This procedure: 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 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.

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 in North Carolina: questions

North Carolina is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 70551 is $184.54 in an office and $184.54 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. North Carolina uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $37 for the office physician line or $37 for the hospital physician line in North Carolina. Medigap may cover that 20%. This is not the hospital facility fee.

No. $184.54 is only the physician's share. Adding Medicare's facility payment brings the total to about $439 in a hospital outpatient department, or about $323 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. North Carolina ranks #18 of 51 states on the physician line (6% below the national office rate of $195.40).

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.