CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Adventist Health Reedley

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$390

about 1.1× the $356 Medicare rate · typically $353–$632

modeled estimate · not a bill or quote

What this hospital charges insurers

$426

About the fair price

about $36 over the fair price · 1.2× Medicare

Medicare pays $356 Fair price $390 This hospital $426 Cash price $894 Hospital's list price $4,707

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $426

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $390 (about 1.1× the $356 Medicare rate). Adventist Health Reedley charges insurers about $426, or about $894 in cash — about the fair price. Located in Reedley, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$107 - $3,779	30%
Blue Cross Blue Shieldmajor	$107 - $4,602	30%
Aetnamajor	$335 - $5,672	94%
Cignamajor	$60 - $5,842	17%
Kaiser Permanentemajor	$144 - $4,494	40%
Bright Health	$704	198%
Health Net	$156 - $3,910	44%
+ 17 smaller / regional plans	$107 - $7,190

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 894), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Reedley is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Reedley

Compare: MRI, brain (with and without contrast) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.