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Idaho

Cost of a Brain MRI Visit
in Idaho

Reviewed by Momentary Medical Group West PC

Idaho's rural geography creates significant healthcare access challenges, with many residents traveling long distances for specialized services like Brain MRI consultations. Patients typically pay between $87.90 and $792.98 for these visits, with a median out-of-pocket cost of $402.85 across Idaho's 136 active Brain MRI providers. Browse all providers in Idaho to find the most affordable option for your specific insurance plan.

Average

$428

Median

$403

Lowest

$88

Highest

$793

Providers

136

National avg: $478Idaho: $428

11% below national average

Compare Similar Procedures

How does mri brain compare to related procedures in Idaho?

ProcedureCPTLowMedianHighProviders
MRI Knee

MRI of the knee without contrast

73721$59$243$462140
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$65$287$2,851178
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$79$203$1,834202
CT Chest

CT scan of the chest with contrast

71260$54$171$321167

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 70553MRI brain without contrast, then with contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 70553 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 70553 (MRI brain without contrast, then with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 70553 covers: the provider's professional fee for mri brain. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Brain MRI Visit Costs Vary Across Idaho

Idaho's healthcare costs run approximately 3% below the national average, partly due to lower operational costs in rural areas and reduced competition among specialty providers. The state's vast rural geography creates unique access challenges, with many patients traveling significant distances to reach Brain MRI specialists in metropolitan areas like Boise and Coeur d'Alene.

Urban vs. Rural Provider Availability

Boise and its surrounding metropolitan area contain the majority of Idaho's Brain MRI specialists, creating cost premiums due to higher demand and facility overhead. Rural counties often lack local neuroimaging services, forcing patients to travel to regional centers or rely on mobile MRI units. This geographic concentration leads to significant cost variations, with urban providers typically charging 20-30% more than rural counterparts.

Facility Type and Overhead Costs

Hospital-based outpatient imaging departments in Idaho generally charge higher rates than independent imaging centers due to facility fees and administrative overhead. Major health systems like Saint Alphonsus and Kootenai Health dominate the market in their respective regions, which can limit price competition. Independent radiology groups often offer more competitive pricing but may have longer wait times due to high patient volumes.

Insurance Market Competition in Idaho

The insurance landscape in Idaho features limited competition, with Regence BlueCross and PacificSource controlling much of the market share. This concentration allows these insurers to negotiate more aggressively with providers, sometimes resulting in lower reimbursement rates that benefit consumers. However, the limited insurer options can also reduce patient choice and create network adequacy challenges in rural areas.

Physician Supply and Demand in Idaho

With 136 active Brain MRI providers serving Idaho's population of 1.9 million, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This supply-demand imbalance drives higher prices in underserved areas while creating competitive pricing in metropolitan markets. Wait times for non-urgent Brain MRI consultations typically range from 1-3 weeks in cities to 4-6 weeks in rural areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Brain MRI Costs in Idaho

What is the average cost of a Brain MRI visit in Idaho without insurance?

Without insurance, Brain MRI visits in Idaho range from $87.90 to $792.98, with a median cost of $402.85. Many providers offer cash discounts of 20-40% for uninsured patients who pay at the time of service. Independent imaging centers typically charge less than hospital-based facilities, making them a more affordable option for self-pay patients.

Does Idaho Medicaid cover Brain MRI visits?

Yes, Idaho expanded Medicaid in 2020, and the program covers medically necessary Brain MRI consultations for eligible residents. Prior authorization may be required for non-emergency brain imaging studies, and patients typically need a referral from their primary care provider. Coverage includes both the radiologist consultation and the MRI scan itself when medically indicated.

How do I find an affordable Brain MRI near me in Idaho?

Compare prices between independent imaging centers and hospital-based facilities, as independents often charge 20-30% less. Ask about cash discounts if you're uninsured, and consider community health centers that may offer sliding scale fees. Rural patients might find better prices by traveling to larger cities where competition keeps costs lower.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Brain MRI consultations typically cost between $87.90 and $792.98 in Idaho, depending on the complexity of your case and facility type. Follow-up visits are generally less expensive since they focus on reviewing results and adjusting treatment plans rather than comprehensive evaluations. The median cost of $402.85 represents a typical initial visit with standard imaging review.

Can I use an HSA or FSA to pay for a Brain MRI visit in Idaho?

Yes, Brain MRI consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for the consultation, imaging studies, and any related diagnostic tests. Keep all receipts and documentation for tax purposes, as the IRS may require proof that the expenses were medically necessary.

How does telemedicine affect the cost of seeing a Brain MRI in Idaho?

Telemedicine consultations for Brain MRI result reviews are typically 30-50% less expensive than in-person visits in Idaho. Many radiologists now offer virtual follow-up appointments to discuss imaging findings and treatment plans, which is especially beneficial for rural patients who would otherwise travel long distances. However, initial consultations usually require in-person evaluation, and the MRI scan itself must always be performed at an imaging facility.

Click a state to compare costs

Average Visit Cost

$265
$1,291

Office visit (CPT 70553)

Compare With Other States

RankStateAverage
1North Dakota
Range: $221$3,100
$1,291
2Minnesota
Range: $88$3,100
$1,247
3Wisconsin
Range: $80$2,464
$975
4Nevada
Range: $135$1,458
$698
5Georgia
Range: $101$1,468
$653
6Hawaii
Range: $88$1,014
$577
7Massachusetts
Range: $90$1,060
$567
8Maine
Range: $178$1,023
$548
9Wyoming
Range: $100$1,112
$537
10Utah
Range: $94$1,045
$510
11Nebraska
Range: $208$793
$504
12New Mexico
Range: $98$1,063
$492
13New Hampshire
Range: $129$993
$489
14Washington
Range: $100$863
$489
15North Carolina
Range: $99$988
$485
16Iowa
Range: $95$842
$483
17Colorado
Range: $95$1,015
$475
18Indiana
Range: $85$1,014
$471
19Louisiana
Range: $92$766
$468
20Alaska
Range: $97$948
$454
21South Dakota
Range: $247$552
$450
22West Virginia
Range: $98$687
$446
23Vermont
Range: $82$983
$443
24Virginia
Range: $76$970
$437
25Michigan
Range: $80$917
$430
26Rhode Island
Range: $88$879
$429
27Idaho
Range: $88$793
$428
28District of Columbia
Range: $90$879
$426
29Oregon
Range: $103$623
$426
30Illinois
Range: $93$842
$417
31New York
Range: $82$926
$417
32Tennessee
Range: $109$823
$417
33Montana
Range: $100$590
$414
34Kansas
Range: $107$818
$401
35Kentucky
Range: $83$842
$398
36South Carolina
Range: $82$829
$390
37Alabama
Range: $88$811
$384
38Pennsylvania
Range: $57$879
$384
39Oklahoma
Range: $85$817
$377
40Mississippi
Range: $89$811
$376
41New Jersey
Range: $63$830
$374
42Ohio
Range: $78$813
$373
43Texas
Range: $90$721
$355
44Maryland
Range: $46$737
$351
45Delaware
Range: $98$596
$345
46Missouri
Range: $115$628
$342
47Arkansas
Range: $104$630
$340
48Connecticut
Range: $55$777
$337
49Florida
Range: $35$811
$302
50Arizona
Range: $100$550
$288
51California
Range: $55$654
$265
MRI Brain in Other States