CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Chapman Global Medical Center
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $721
- Cash Discount Price: $7,505
- vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Chapman Global Medical Center is $721. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,505. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.02x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
$7,505
Average discount available for prompt cash payment at this facility.
Insurance Median
$721
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: $7,505 (2106%)
Insurance Median: $721 (202%)
Cash: $7,505 (2106% of Medicare)
Ins. Median: $721 (202% 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 202% of the Medicare baseline (a markup of 102%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Ihhi | $360 | 101% |
| Brand New Day | $373 - $561 | 105% |
| Monarch Health Plan | $393 - $1,914 | 110% |
| Scan/Altamed | $424 | 119% |
| Champ | $431 | 121% |
| Champus | $431 | 121% |
| Aetna | $447 - $917 | 125% |
| Altamed | $447 - $1,914 | 125% |
| Altamed Health Services | $447 | 125% |
| Astiva | $447 | 125% |
| Blue Shield Of California | $447 - $1,701 | 125% |
| Central Health Plan | $447 | 125% |
| Champion Health Plan | $447 | 125% |
| Citizen Choice Health Plan | $447 | 125% |
| Clever Care | $447 | 125% |
| Easy Choice | $447 | 125% |
| For Your Benefit | $447 | 125% |
| Health Net | $447 - $4,766 | 125% |
| Healthcare Partners Sr Hmo | $447 | 125% |
| Heritage Provider Network | $447 - $3,762 | 125% |
| Hollywood Presbyterian | $447 - $1,367 | 125% |
| Humana | $447 | 125% |
| Kaiser | $447 - $4,622 | 125% |
| Medicare (plans) | $447 | 125% |
| Monarch Sr | $447 | 125% |
| Onecare | $447 | 125% |
| Onecare/Connect | $447 | 125% |
| Prospect Health Plan | $447 - $1,914 | 125% |
| Scan Health Plan | $447 | 125% |
| St Joseph | $447 | 125% |
| UnitedHealthcare | $447 - $531 | 125% |
| Us Federal Marshall/Department Of Immigration | $447 | 125% |
| Velocity National Provider Network Sr | $447 | 125% |
| Verda Health Plan | $447 | 125% |
| Veterans Administration | $447 | 125% |
| Apex Hospice | $449 | 126% |
| Caloptima | $449 - $1,914 | 126% |
| Choice Physicians Network | $449 | 126% |
| Imperial Health Plan Of Ca | $449 | 126% |
| Innovative Integrated Health | $449 | 126% |
| Medcare Partners Health Plan | $449 | 126% |
| Self Pay | $449 | 126% |
| Us Department Of Labor/Workers Comp | $449 | 126% |
| Victim Of Violent Crime | $449 | 126% |
| Victoria Hospice | $449 | 126% |
| Cigna | $477 - $6,004 | 134% |
| Healthcare Partners Hmo | $485 | 136% |
| Align Senior Care | $500 | 140% |
| Prime Health Services | $513 - $6,004 | 144% |
| Coventry Health | $537 - $567 | 151% |
| Interplan | $543 - $5,629 | 152% |
| County Of Orange | $561 - $1,914 | 157% |
| Veterans Evaluation Services | $561 | 157% |
| Multiplan | $585 | 164% |
| Three Rivers Wc | $585 | 164% |
| Indemnity Workers Comp California Fee Schedule | $597 | 167% |
| Velocity National Provider Network Wc | $597 | 167% |
| Staywell/Island Home Ins | $628 | 176% |
| Three Rivers Network | $785 | 220% |
| Velocity National Provider Network Ppo | $785 | 220% |
| Altamed Mcal Hmo (Ancillary) | $1,367 | 384% |
| Healthcare Partners | $1,367 | 384% |
| Medi-Cal | $1,367 | 384% |
| State Of California | $1,367 | 384% |
| Altamed Whole Child Model/Caloptima | $1,914 | 537% |
| Choc Health Alliance | $1,914 | 537% |
| Family Choice | $1,914 | 537% |
| Velocity National Provider Network Auto Med Ppo | $3,377 | 947% |
| First Health | $3,940 | 1105% |
| Magellan | $4,503 | 1263% |
| Magellan Behavioral Health | $4,503 | 1263% |
| Multiplan/Master | $5,254 | 1474% |
| Networks By Design | $5,254 | 1474% |
| Healthsmart Preferred Network | $5,629 | 1579% |
| Pnoa-Provider Network Of America | $6,004 | 1684% |
| Prime Health Services/Network | $6,379 | 1790% |
| Clinics | $7,505 | 2106% |
| Lucet Bh Scan Sr | $7,505 | 2106% |
| Managed Health Network | $7,505 | 2106% |
| Opiate Detox Institute | $7,505 | 2106% |
| Other Insurance | $7,505 | 2106% |
| Other Non Contracted Insurance Plans | $7,505 | 2106% |
| Private Pay | $7,505 | 2106% |
| Silverado Hospice | $7,505 | 2106% |
| Us Behavioral Health | $7,505 | 2106% |
| Waismann Method Medical Group | $7,505 | 2106% |
| West Coast Hospice Care | $7,505 | 2106% |