CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Marinhealth Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,335
Cash Discount Price: $5,952
vs. Medicare Baseline: 6.55x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Marinhealth Medical Center is $2,335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,952. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.55x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.

Cash / Self-Pay

$5,952

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,335

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: $5,952 (1670%)

Insurance Median: $2,335 (655%)

Cash: $5,952 (1670% of Medicare)

Ins. Median: $2,335 (655% 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 655% of the Medicare baseline (a markup of 555%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$335 - $2,178	94%
Brown And Tolan	$492	138%
Healthnet Tailored Network	$492	138%
Kaiser	$492	138%
Marin Cancer Care	$492	138%
Ca Prison Health Care Services	$788	221%
Blue Cross Blue Shield	$926	260%
Healthnet Enhancedcare	$1,280	359%
UnitedHealthcare	$2,330	654%
Provider Network Of America	$2,339	656%
Canopy	$2,831	794%
Canopy Hill Physicians	$2,831	794%
Blue Shield Cpic/Epo	$2,921	820%
Providers Network Of America	$3,102	870%
Blue Shield Hmo/Ppo	$3,245	910%
Hills Blue Shield Hmo/Ppo	$3,245	910%
Healthnet Hmo/Ppo	$3,284	921%
Healthnet Hmo/Ppo Hill Physicians	$3,284	921%
Blue Shield Aco	$3,364	944%
Cigna	$4,593	1289%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $5,952.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marinhealth Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.