CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Stone County Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $304
Cash Discount Price: $810
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Stone County Medical Center is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $810. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.85x the Medicare baseline. Located in 2106 East Main Street, Mountain View, AR.

Cash / Self-Pay

$810

Average discount available for prompt cash payment at this facility.

Insurance Median

$304

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: $810 (227%)

Insurance Median: $304 (85%)

Cash: $810 (227% of Medicare)

Ins. Median: $304 (85% 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
Arkansas Caresource	$100	28%
Blue Cross Blue Shield	$198 - $367	56%
Aetna	$292 - $950	82%
Arkansas Superior Select Scmc	$292	82%
Hmo Partners Inc Scmc	$292	82%
Medicare (plans)	$292 - $297	82%
Medipak Advantage Scmc	$292	82%
UnitedHealthcare	$292	82%
Cigna	$302	85%
Allwell Scmc	$306	86%
Wellcare Scmc	$307	86%
Ambetter / Centene	$394	111%
Qualchoice (Alliance) Scmc	$423	119%
Provider Network Of America Scmc	$467	131%
Municipal Health Benefit Fund	$605	170%
Multiplan	$756	212%

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 $810.
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 Stone County Medical Center 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.