CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Kingman Regional Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $387
Cash Discount Price: $1,769
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Kingman Regional Medical Center is $387. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,769. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.09x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$1,769

Average discount available for prompt cash payment at this facility.

Insurance Median

$387

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: $1,769 (496%)

Insurance Median: $387 (109%)

Cash: $1,769 (496% of Medicare)

Ins. Median: $387 (109% 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
UnitedHealthcare	$76 - $1,695	21%
Health Choice Generations	$104 - $372	29%
Hpn Sierra Nevada Mcr Adv	$104 - $372	29%
Medicare (plans)	$104 - $372	29%
Triwest - All Plans	$104 - $372	29%
Care 1St Mcr Adv-All Other Plans	$109 - $391	31%
Humana	$110 - $6,653	31%
Mercy Care Adv Snp-All Other Plans	$114 - $410	32%
Geo Group Chc Az State Prison-All Plans	$156 - $558	44%
Aetna	$161 - $5,993	45%
Health Plan Of Nevada-All Other Plans	$161 - $5,857	45%
Health Choice Hie Exchange	$176 - $7,770	49%
Multiplan-All Plans	$176 - $7,770	49%
Health Choice- All Other Plans	$259 - $931	73%
Apipa - Ahcccs-All Other Plans	$332 - $9,713	93%
Care 1St Mcaid	$332 - $10,199	93%
Health Choice Az	$332 - $9,713	93%
Three Rivers-All Plans	$364 - $8,936	102%
Mercy Care Ahcccs Ddd	$365 - $10,684	102%
America'S Choice Provider Network-All Plans	$376 - $9,227	105%
Az Foundation-All Plans	$396 - $9,713	111%
Mediversal-All Plans	$396 - $9,713	111%
One Health Plan-All Plans	$396 - $9,713	111%
Universal Health-All Plans	$396 - $9,713	111%
Blue Cross Blue Shield	$530 - $5,536	149%
Cigna	$876 - $8,742	246%

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 $1,769.
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 Kingman Regional 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.