CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: University of Alabama Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $4,759
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 13.35x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at University of Alabama Hospital is $4,759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.35x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,759

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%)
Insurance Median: $4,759 (1335%)
Ins. Median: $4,759 (1335% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1335% of the Medicare baseline (a markup of 1235%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Humana $294 - $5,057 82%
Birmingham Fc $320 90%
Blue Cross Blue Shield $320 90%
Cooper Green $320 90%
Davita Villagehealth $320 90%
Jefferson County Sheriff $320 90%
Triwest $320 90%
UnitedHealthcare $320 - $3,235 90%
Viva $323 - $520 91%
Cigna $342 - $3,986 96%
Ambetter / Centene $440 123%
University Of Alabama $2,974 834%
Aetna $3,629 1018%
Coventry $3,867 - $4,804 1085%
North Alabama Managed Care $3,867 1085%
Comp One $4,283 1202%
Construction Claims Management $4,450 1248%
Alamed $4,462 1252%
Corvel $4,759 1335%
Evolutions $4,759 - $5,354 1335%
Healthcare Alliance $4,759 1335%
Novanet $4,759 - $5,354 1335%
Prime Health Services $4,759 - $5,354 1335%
Select Value Care $4,759 1335%
Starcare $4,759 1335%
Tethys $4,759 1335%
Multiplan $4,878 1369%
Department Of Labor $5,057 1419%
Geha $5,057 1419%
Gulf Health Plans $5,057 1419%
Heritage Summit Health $5,057 1419%
Mississippi Physicians $5,057 1419%
Phifer $5,057 1419%
Preferred Health Partnership $5,057 1419%
Southern Nuclear $5,057 1419%
Vantage Health Plan $5,057 1419%
Galaxy Health Network $5,354 1502%
National Provider Network $5,354 1502%
North Mississippi Health Link $5,354 1502%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals