CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Adventist Health Hanford

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $468
  • Cash Discount Price: $894
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Adventist Health Hanford is $468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $894. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.31x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$894

Average discount available for prompt cash payment at this facility.

Insurance Median
$468

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: $894 (251%)
Insurance Median: $468 (131%)
Cash: $894 (251% of Medicare)
Ins. Median: $468 (131% 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
Cigna $60 - $5,339 17%
Blue Shield Mcr Adv $107 - $449 30%
Fhcn Pace Mcr Adv-All Plans $107 - $449 30%
Prime Health Mcr Adv- All Plans $107 - $449 30%
Tricare $107 - $449 30%
UnitedHealthcare $107 - $3,773 30%
Central Valley Med Prov Profee Only-All Plans $112 31%
Ah Employee Health Plan - All Plans $118 - $808 33%
Kaiser - All Other Plans $144 - $4,494 40%
Kaiser Mcr Adv $144 - $449 40%
Healthnet - All Other Plans $156 - $4,179 44%
Western Growers/Pinnacle- All Plans $159 - $4,134 45%
Blue Shield Epn $197 - $4,224 55%
Blue Cross Blue Shield $207 - $3,936 58%
Blue Shield Non-Epn - All Other Plans $208 - $4,629 58%
Bc Mcal $311 - $542 87%
Healthnet Mcal $311 - $779 87%
Kaiser Mcal $311 - $594 87%
Medi-Cal $311 - $594 87%
Universal Hc Mcal Profee $311 87%
Upn Mcal Profee $311 87%
Aetna $335 - $5,796 94%
Valley Childrens - All Plans $426 - $999 120%
Healthnet Mcr Adv $449 126%
Key Medical Mcr Adv $449 126%
Universal Hc Mcr Adv Profee - All Other Plans $449 126%
Upn Mcr Adv Profee - All Other Plans $449 126%
Key Medical Group Commercial - All Other Plans $538 151%
Bright Health Mcr Adv-All Plans $704 198%
Interplan- All Plans $790 222%
Fresno - All Plans $981 275%
Community Hlth Ntwork-All Plans $5,000 1403%
Phcs Ppo- All Plans $5,842 1639%
First Health - All Plans $7,011 1967%
Choicecare- All Plans $7,370 2068%
Multiplan- All Plans $7,460 2093%
Beech Street- All Plans $7,640 2143%
Preferred Health Network- All Plans $8,539 2396%
Pacific Health Alliance- All Plans $8,718 2446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals