CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: John Muir Medical Center - Concord Campus
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $493
- Cash Discount Price: $4,277
- vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at John Muir Medical Center - Concord Campus is $493. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,277. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.38x the Medicare baseline. Located in 2540 East St, Concord, CA.
Cash / Self-Pay
$4,277
Average discount available for prompt cash payment at this facility.
Insurance Median
$493
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: $4,277 (1200%)
Insurance Median: $493 (138%)
Cash: $4,277 (1200% of Medicare)
Ins. Median: $493 (138% 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 |
|---|---|---|
| Jmpn Canopy Hn [1640000011] | $217 | 61% |
| UnitedHealthcare | $217 - $2,233 | 61% |
| Contra Costa County Jail [1012104] | $311 | 87% |
| Aetna | $312 - $493 | 88% |
| United Behavioral Health [1048103] | $442 | 124% |
| Health Net-Network Mcare [1028127] | $483 | 136% |
| Alignment Health [1177113] | $493 | 138% |
| Blue Cross Blue Shield | $493 - $6,178 | 138% |
| Blue Shield-Network Mcare [1006127] | $493 | 138% |
| Care 1St Health Plan [1094113] | $493 | 138% |
| Caremore [1171113] | $493 | 138% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] | $493 | 138% |
| Easy Choice Health Plan [1083113] | $493 | 138% |
| Essence Healthcare [1049028] | $493 | 138% |
| Essence Healthcare [1049128] | $493 | 138% |
| Golden State-Network Mcare [1023127] | $493 | 138% |
| Hospice Of East Bay [1085104] | $493 | 138% |
| Humana | $493 - $7,888 | 138% |
| Medicare (plans) | $493 - $7,603 | 138% |
| Scan-Network Mcare [1043127] | $493 | 138% |
| Veterans Administration [1051113] | $493 | 138% |
| Tricare | $545 | 153% |
| Workers' Comp [1024005] | $566 | 159% |
| Generic Commercial/Indemnity [1017001] | $616 - $3,802 | 173% |
| Generic Hmo [1018103] | $616 | 173% |
| Generic Ppo [1021104] | $616 | 173% |
| Canopy Hn Hmo [1166103] | $902 | 253% |
| Blue Shield Hmo [1006103] | $2,233 - $2,281 | 626% |
| Blue Shield Ppo [1006104] | $2,281 - $2,395 | 640% |
| Blue Shield-Network [1006026] | $2,281 | 640% |
| Health Net Hmo [1028103] | $2,318 | 650% |
| Health Net Ppo [1028104] | $2,318 | 650% |
| Health Net-Network [1028026] | $2,318 | 650% |
| Cigna | $2,460 | 690% |
| Carecentrix [1011001] | $3,802 | 1067% |
| Donor Network West [1008103] | $4,000 | 1122% |
| Aps Healthcare [1003103] | $4,277 | 1200% |
| Carelon Behavioral Health [1050104] | $5,227 | 1466% |
| Fortified Provider Network [1063104] | $5,227 | 1466% |
| Medigap [1036001] | $5,227 | 1466% |
| Three Rivers Provider Network [1073104] | $5,227 | 1466% |
| Contra Costa Health Plan Hmo [1013103] | $5,702 | 1600% |
| Western Health Advantage Hmo [1053103] | $6,653 - $7,603 | 1867% |
| Kaiser Hmo [1033103] | $7,033 | 1973% |
| Federal Correction Institute [1062104] | $7,603 | 2133% |
| First Health [1016104] | $7,603 - $8,078 | 2133% |
| Healthsmart - Pka Interplan [1031104] | $7,603 | 2133% |
| Networks By Design [1084104] | $7,603 | 2133% |
| Pponext [1072104] | $7,603 | 2133% |
| Sutter Preferred Health Plan [1044104] | $7,603 | 2133% |
| Health Management Network [1066104] | $8,078 | 2266% |
| Healthcomp [1089104] | $8,078 | 2266% |
| Galaxy Health Network [1064104] | $8,554 | 2400% |
| Integrated Health Plan [1075104] | $8,554 | 2400% |