CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Copper Queen Community Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $1,214
  • Cash Discount Price: $2,858
  • vs. Medicare Baseline: 3.41x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Copper Queen Community Hospital is $1,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,858. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.41x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$2,858

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,214

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: $2,858 (802%)
Insurance Median: $1,214 (341%)
Cash: $2,858 (802% of Medicare)
Ins. Median: $1,214 (341% 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 341% of the Medicare baseline (a markup of 241%). 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
Allwell $378 - $765 106%
Amerigroup $378 - $765 106%
Azch Complete $378 - $765 106%
Banner Uc Health $378 - $765 106%
Humana $378 - $765 106%
Triwest $378 - $765 106%
UnitedHealthcare $425 - $2,788 119%
Copperpoint $585 - $1,184 164%
Bisbee Police $614 - $1,244 172%
Aetna $662 - $4,305 186%
Health Net Of Az $662 - $2,870 186%
Apipa $883 - $1,786 248%
Blue Cross Blue Shield $1,607 - $3,252 451%
Cigna $1,654 - $3,348 464%
Self Pay $1,890 - $3,826 530%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Cole Avenue, Bisbee, AZ 85603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals