CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $537
- Cash Discount Price: $8,815
- vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at AHMC Anaheim Regional Medical Center is $537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,815. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.51x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$8,815
Average discount available for prompt cash payment at this facility.
Insurance Median
$537
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: $8,815 (2473%)
Insurance Median: $537 (151%)
Cash: $8,815 (2473% of Medicare)
Ins. Median: $537 (151% 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 |
|---|---|---|
| Private Pay Flat Rate | $135 | 38% |
| Monarch Healthcare Medical Group | $250 | 70% |
| Affiliated Doctors Of Orange County | $300 | 84% |
| Memorial Healthcare Ipa | $310 | 87% |
| Altamed Health Network | $311 - $442 | 87% |
| Applecare Medical Group | $311 | 87% |
| Beverly Hospital | $311 - $494 | 87% |
| Brand New Day | $311 - $561 | 87% |
| Health Net | $311 | 87% |
| Healthcare Partners | $311 - $442 | 87% |
| Healthy Way La | $311 | 87% |
| Heritage Provider Network | $311 - $606 | 87% |
| Non Contracted Medi-Cal | $311 | 87% |
| Talbert Medical Group | $311 - $740 | 87% |
| Veterans Administration | $314 | 88% |
| Prospect Medical Group | $404 | 113% |
| Alta Los Angeles Hospital | $419 | 118% |
| Prospect Health Plan | $419 - $606 | 118% |
| Tricare | $426 | 120% |
| Caloptima | $435 - $1,709 | 122% |
| Monarch Health Plan | $435 - $4,367 | 122% |
| Aetna | $442 - $1,524 | 124% |
| Aids Health Foundation | $442 - $1,367 | 124% |
| Alignment Health Plan | $442 | 124% |
| Apa Aco Inc | $442 | 124% |
| Avanti | $442 - $1,367 | 124% |
| Blue Cross Blue Shield | $442 - $2,316 | 124% |
| Blue Shield Of California | $442 - $11,630 | 124% |
| California Health Plan | $442 | 124% |
| Central Health Of California | $442 | 124% |
| Davita Heatlhcare Partners Plan Inc | $442 - $4,324 | 124% |
| Healthnet | $442 | 124% |
| Humana | $442 | 124% |
| Kaiser Foundation Hospitals | $442 - $1,367 | 124% |
| Medicare (plans) | $442 - $600 | 124% |
| Pacificare | $442 | 124% |
| Scan Health Plan | $442 | 124% |
| Seoul Medical Group | $442 - $449 | 124% |
| Wellcare | $442 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $449 | 126% |
| Emanate Health | $449 - $1,367 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $449 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $449 | 126% |
| Self-Pay | $449 | 126% |
| Msi/Medical Services For Indigents | $450 | 126% |
| Ahmc Reciprocity Agreement | $451 | 127% |
| Nchp | $464 | 130% |
| Align Senior Care | $468 | 131% |
| Angels Baseball Workers Comp | $507 | 142% |
| Genesis Healthcare Ipa Ancillary | $513 | 144% |
| Interplan | $537 - $6,170 | 151% |
| Ahmc Health Self-Insurance Epo | $561 | 157% |
| Knox-Keene Act | $561 | 157% |
| First Health | $579 - $7,052 | 162% |
| Orange County Preferred Provider Organization | $579 - $6,611 | 162% |
| Athens Administrators | $597 | 167% |
| Capp Care | $597 - $6,611 | 167% |
| Cigna | $597 - $2,059 | 167% |
| Marriot Intl | $597 | 167% |
| Non Contracted Workers Comp | $597 | 167% |
| Multiplan Inc | $600 | 168% |
| UnitedHealthcare | $602 | 169% |
| Medical Acquisition Company | $625 | 175% |
| Care First | $630 | 177% |
| Private Healthcare Systems | $810 | 227% |
| Health Net Inc | $1,203 - $5,378 | 338% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $1,367 | 384% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $1,367 | 384% |
| Hollywood Presbyterian Medpoint Mcal | $1,367 | 384% |
| Medi-Cal | $1,367 | 384% |
| Medical Safety Net Program | $1,367 | 384% |
| Netcare Life And Health Insurance | $2,204 | 618% |
| Advance Clinical Research Institute | $2,644 | 742% |
| Healthcare Partners Commercial | $4,324 | 1213% |
| Huntington Memorial Hospital | $4,324 | 1213% |
| Affiliated Health Fund | $6,170 | 1731% |
| Allnet Preferred Provider | $6,170 | 1731% |
| Choicecare | $6,611 | 1855% |
| Corvel | $6,611 | 1855% |
| National Provider Network | $7,052 | 1979% |
| Three Rivers Providers Network | $7,052 | 1979% |
| Health Payors Organization | $7,934 | 2226% |
| Non Contracted Commercial | $8,815 | 2473% |