CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Banner Gateway Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $548
  • Cash Discount Price: $618
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Banner Gateway Medical Center is $548. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $618. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.54x the Medicare baseline. Located in 1900 North Higley Road, Gilbert, AZ.
Cash / Self-Pay
$618

Average discount available for prompt cash payment at this facility.

Insurance Median
$548

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: $618 (173%)
Insurance Median: $548 (154%)
Cash: $618 (173% of Medicare)
Ins. Median: $548 (154% 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.

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
Arizona Physicians Ipa $267 - $381 75%
Banner University Health Plan $267 - $381 75%
Health Choice Arizona, Inc. $267 - $571 75%
Health Net $267 - $563 75%
Mercy Care $267 - $381 75%
Aetna $381 - $2,098 107%
Banner Health $381 107%
Blue Cross Blue Shield $381 - $1,568 107%
Care 1St $381 107%
Cigna $381 - $1,646 107%
Gila River Health Care Corporation $381 107%
Humana $381 - $392 107%
Kaiser Foundation Health Plan $381 107%
Triwest Healthcare Alliance Corp - Va Ccn $381 107%
UnitedHealthcare $381 - $1,864 107%
Upmc Health Plan $381 107%
Wellpoint (Fka Amerigroup) $381 107%
Carekin $400 112%
Devoted Health Services $400 112%
Arizona Priority Care $419 118%
Gold Kidney Health Plan $419 118%
Oscar Health Plan $628 176%
Hospice Of The Valley $1,273 357%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $1,636 459%
Plotkin Health $1,636 459%
Quiktrip Corporation $1,963 551%
Arizona Medical Network $2,545 714%
Provider Network Of America $2,727 765%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 North Higley Road, Gilbert, AZ 85234
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals