CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Scripps Mercy Hospital
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $472
- Cash Discount Price: $1,476
- vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Scripps Mercy Hospital is $472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,476. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.32x the Medicare baseline. Located in 4077 5Th Ave, San Diego, CA.
Cash / Self-Pay
$1,476
Average discount available for prompt cash payment at this facility.
Insurance Median
$472
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: $1,476 (414%)
Insurance Median: $472 (132%)
Cash: $1,476 (414% of Medicare)
Ins. Median: $472 (132% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Mpmg Mcr Adv [836] | $197 | 55% |
| Mpmg [800] | $197 | 55% |
| Ocn Mcr Adv [890] | $197 | 55% |
| UnitedHealthcare | $197 - $1,122 | 55% |
| Aetna | $253 - $1,192 | 71% |
| Cigna | $347 - $472 | 97% |
| Sharp Comm Med Grp [812] | $347 - $1,192 | 97% |
| Sharp Rees Stealy Med Grp [811] | $347 - $1,192 | 97% |
| Ucsd [807] | $347 - $1,192 | 97% |
| Astiva Mcr Adv [464] | $449 | 126% |
| Bc Mcr Adv [830] | $449 | 126% |
| Blue Cross Blue Shield | $449 - $1,122 | 126% |
| Bs Mcr Adv [829] | $449 | 126% |
| Central Health Mcr Adv [441] | $449 | 126% |
| Clever Care Mcr Adv [465] | $449 | 126% |
| D-Snp Mcr Adv [889] | $449 | 126% |
| Dsnp/Csnp - Generic [458] | $449 | 126% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $449 | 126% |
| Family Health Centers Pace Medi-Cal [555] | $449 | 126% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $449 | 126% |
| Gpmg/Altura - Mcr Adv [888] | $449 | 126% |
| Hn Mcr Adv [832] | $449 | 126% |
| Humana | $449 | 126% |
| Integrated Health Partners - Mcr Adv [895] | $449 | 126% |
| Kaiser Northern Ca Region Mcr Adv [386] | $449 | 126% |
| La Care Mcr Adv Hmo [612] | $449 | 126% |
| Medicare (plans) | $449 | 126% |
| San Diego Pace Medi-Cal [553] | $449 | 126% |
| Scan Mcr Adv [835] | $449 | 126% |
| Scan [500] | $449 | 126% |
| Scan [818] | $449 | 126% |
| Sharp Comm Med Grp Mcr Adv [840] | $449 | 126% |
| Sharp Health Plan Mcr Adv [531] | $449 | 126% |
| Sharp Health Plan Mcr Adv [897] | $449 | 126% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $449 | 126% |
| St Paul'S Pace Medi-Cal [551] | $449 | 126% |
| Ucsd Mcr Adv [873] | $449 | 126% |
| Uh Mcr Adv [831] | $449 | 126% |
| Uh Palomar Health Mcr Adv [885] | $449 | 126% |
| Alignment Health Plan [443] | $462 | 130% |
| Mc Alignment [917] | $472 | 132% |
| Mc Blue Shield Promise Health Plan [914] | $472 | 132% |
| Mc Blue Shield [902] | $472 | 132% |
| Mc Health Net [904] | $472 | 132% |
| Mc Scan [905] | $472 | 132% |
| Mc United [906] | $472 | 132% |
| Radys Cpmg [803] | $472 | 132% |
| Health Net [340] | $713 - $1,122 | 200% |
| Prime Healthcare [614] | $763 | 214% |
| Prospect Med Group [893] | $785 | 220% |
| Blue Shield [230] | $915 - $992 | 257% |
| Bs [816] | $956 - $992 | 268% |
| Imperial County Phys Med Group [855] | $956 - $1,021 | 268% |
| Bc [814] | $1,021 | 286% |
| Integrated Health Partners [894] | $1,021 | 286% |
| Perlman Med Group [899] | $1,021 | 286% |
| Hn [815] | $1,051 | 295% |
| Centivo [581] | $1,063 | 298% |
| Uh [819] | $1,122 | 315% |
| Palomar Health [892] | $1,192 | 334% |
| Veba Med Grp [813] | $1,192 | 334% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $2,208 - $2,220 | 619% |
| Kaiser [380] | $2,208 - $2,220 | 619% |
| Kaiser [383] | $2,208 - $2,220 | 619% |
| Rady Children'S Hospital [825] | $2,420 | 679% |
| Multi Plan Network [470] | $4,191 | 1176% |
| First Health Network [330] | $4,427 | 1242% |
| Pnoa [615] | $4,427 | 1242% |
| Choice Care Network [270] | $4,722 | 1325% |
| Healthsmart [350] | $4,722 | 1325% |