CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,034
Cash Discount Price: $3,538
vs. Medicare Baseline: 8.51x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Southwest Healthcare Rancho Springs Hospital is $3,034. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,538. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.51x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$3,538

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,034

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: $3,538 (993%)

Insurance Median: $3,034 (851%)

Cash: $3,538 (993% of Medicare)

Ins. Median: $3,034 (851% 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 851% of the Medicare baseline (a markup of 751%). 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
Health_Net	$231 - $3,447	65%
Kaiser	$289 - $2,993	81%
United_Healthcare	$317 - $602	89%
Heritage	$345 - $3,858	97%
Iehp	$409	115%
Blue Cross Blue Shield	$1,053 - $13,033	295%
Aetna	$1,682	472%
Cigna	$2,732 - $3,618	766%
Primecare	$3,034 - $4,017	851%
Palomar	$3,577 - $4,737	1004%
Rady_Children'S_Hospital	$5,328 - $7,055	1495%
Multiplan	$6,850 - $9,070	1922%
Sharp_Health_Plan	$6,850 - $9,070	1922%

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 $3,538.
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 Southwest Healthcare Rancho Springs Hospital 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.