CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: The East Alabama Healthcare Authority

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $682
Cash Discount Price: $481
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at The East Alabama Healthcare Authority is $682. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.91x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.

Cash / Self-Pay

$481

Average discount available for prompt cash payment at this facility.

Insurance Median

$682

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $481 (135%)

Insurance Median: $682 (191%)

Cash: $481 (135% of Medicare)

Ins. Median: $682 (191% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$100 - $887	28%
Blue Cross Blue Shield	$100 - $693	28%
Cigna	$100 - $637	28%
Humana	$100 - $682	28%
Simpra	$100 - $324	28%
Viva	$100 - $804	28%
Novanet	$129 - $133	36%
Beechstreet	$323 - $754	91%
Alabama Crime Victims	$430 - $444	121%
Mcm Maxcare	$689 - $710	193%
Mega Life	$689 - $710	193%
UnitedHealthcare	$689 - $710	193%
Coventry First Health	$732 - $754	205%
Geha	$732 - $754	205%
Multiplan	$732 - $754	205%
Workers Comp	$732 - $754	205%
Trpn	$775 - $798	217%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $481.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The East Alabama Healthcare Authority is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.