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West Virginia

Cost of a Brain MRI Visit
in West Virginia

Reviewed by Momentary Medical Group West PC

West Virginia's mountainous terrain and rural healthcare infrastructure create unique challenges for accessing specialized imaging services across the state's 55 counties. Brain MRI costs typically range from $98 to $687, with a median negotiated rate of $552 based on insurance agreements with 268 active providers statewide. Patients can browse all Brain MRI providers in West Virginia to compare costs and find the most affordable option for their specific insurance plan.

Average

$446

Median

$552

Lowest

$98

Highest

$687

Providers

268

National avg: $478West Virginia: $446

7% below national average

Compare Similar Procedures

How does mri brain compare to related procedures in West Virginia?

ProcedureCPTLowMedianHighProviders
MRI Knee

MRI of the knee without contrast

73721$71$327$425275
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$79$368$418265
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$76$229$1,842186
CT Chest

CT scan of the chest with contrast

71260$64$171$317229

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 West Virginia

West Virginia's Brain MRI costs run approximately 2% below national averages, reflecting the state's lower cost of living and rural healthcare economics. The Mountain State's challenging geography and sparse population density create unique cost pressures for high-tech imaging services across its 55 counties.

Urban vs. Rural Provider Availability

Charleston, Morgantown, and Huntington serve as regional imaging hubs, while many rural counties lack MRI facilities entirely, forcing patients to travel significant distances. This geographic disparity can increase total costs when factoring in travel time and expenses. Urban centers typically have more competitive pricing due to multiple facility options, while rural areas may have limited choices.

Facility Type and Overhead Costs

Hospital-based outpatient imaging centers, common at WVU Medicine and Charleston Area Medical Center, typically charge more than independent radiology clinics due to higher overhead costs. Many facilities are affiliated with larger health systems, which can affect pricing structures and insurance negotiations. Standalone imaging centers often offer more competitive rates but may have limited evening or weekend availability.

Insurance Market Competition in West Virginia

The state's insurance market is relatively concentrated, with Highmark West Virginia, UnitedHealthCare, and Aetna holding significant market share, potentially limiting competitive pressure on negotiated rates. This concentration can result in fewer provider network options in some regions. Rural areas may have particularly limited in-network choices, affecting patient costs and access.

Physician Supply and Demand in West Virginia

West Virginia has 268 active providers offering Brain MRI services, a reasonable supply given the state's population of 1.8 million residents. However, the distribution is uneven, with most specialists concentrated in Charleston, Morgantown, and Huntington areas. This geographic maldistribution can create longer wait times and higher costs in underserved rural regions.

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 West Virginia

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

Brain MRI costs in West Virginia range from $98 to $687, with a median negotiated rate of $552 based on data from 268 providers statewide. Uninsured patients may pay different rates, as these figures represent insurance company negotiated prices rather than cash-pay rates. Many facilities offer self-pay discounts that can significantly reduce costs for patients without insurance coverage.

Does West Virginia Medicaid cover Brain MRI visits?

Yes, West Virginia expanded Medicaid in 2014, and the program covers medically necessary Brain MRI scans when properly authorized by a physician. Prior authorization may be required for non-emergency imaging studies, and the scan must be ordered for diagnostic purposes rather than routine screening. Medicaid patients typically have minimal out-of-pocket costs for covered imaging services.

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

Compare costs across different facility types, as independent imaging centers often charge less than hospital-based facilities. Ask about self-pay discounts if you're uninsured, as many West Virginia providers offer significant reductions for cash payments. Community health centers and federally qualified health centers may also provide referrals to affordable imaging options in your area.

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

Brain MRI pricing is typically the same regardless of whether it's an initial or follow-up scan, as the imaging procedure itself doesn't change. However, the radiologist consultation or interpretation fees may vary slightly between facilities. The technical component of the MRI scan, which represents the largest cost portion, remains consistent at the $98 to $687 range seen across West Virginia providers.

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

Yes, Brain MRI scans are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes both the technical component of the scan and the radiologist's interpretation fees. Keep all receipts and documentation, as you may need to provide proof that the imaging was medically necessary for tax purposes.

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

While the MRI scan itself must be performed in person at an imaging facility, telemedicine consultations for reviewing results or discussing findings are often less expensive than in-person visits. West Virginia has expanded telehealth options, particularly for rural residents who may need to consult with specialists in Charleston or Morgantown. Some insurance plans offer lower copays for telehealth visits, which can reduce overall costs when combined with imaging studies.

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