CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Coastal Communities Hospital
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $628
- Cash Discount Price: $7,505
- vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Coastal Communities Hospital is $628. 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 1.76x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$7,505
Average discount available for prompt cash payment at this facility.
Insurance Median
$628
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: $628 (176%)
Cash: $7,505 (2106% of Medicare)
Ins. Median: $628 (176% 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 |
|---|---|---|
| Ihhi Reciprocity | $360 | 101% |
| Kpc Healthcare Inc | $373 - $1,914 | 105% |
| Monarch | $393 - $464 | 110% |
| Altamed Health Services | $424 - $1,914 | 119% |
| Champus | $431 | 121% |
| Blue Shield | $447 - $1,701 | 125% |
| Central Health Plan Of California | $447 | 125% |
| Champion Health Plan | $447 | 125% |
| Citizens Choice Health Plan | $447 | 125% |
| Clever Care Health Plan | $447 | 125% |
| Easy Choice Health Plan | $447 | 125% |
| For Your Benefit | $447 | 125% |
| Health Net | $447 - $4,961 | 125% |
| Healthcare Partners Sr Hmo | $447 | 125% |
| Heritage | $447 | 125% |
| Hollywood Presbyterian | $447 - $1,367 | 125% |
| Humana | $447 | 125% |
| Kaiser | $447 - $4,622 | 125% |
| Onecare | $447 | 125% |
| Onecare Connect | $447 | 125% |
| Other Senior Non Contract | $447 | 125% |
| Prospect Health Plan | $447 - $1,914 | 125% |
| Scan Health Plan | $447 | 125% |
| UnitedHealthcare | $447 - $531 | 125% |
| Us Federal Marshall/Department Of Immigration | $447 | 125% |
| Velocity Provider Network Sr | $447 | 125% |
| Verda Health Plan Sr | $447 | 125% |
| Veterans Administration | $447 | 125% |
| Caloptima | $449 - $1,914 | 126% |
| Choice Physicians Network | $449 | 126% |
| Imperial Health Plan Of Ca | $449 | 126% |
| Innovative Integrated Health | $449 | 126% |
| Medcare Partners | $449 | 126% |
| Self Pay Ab774/Cbo Use Only | $449 | 126% |
| Us Dept Of Labor | $449 | 126% |
| Victim Of Violent Crime | $449 | 126% |
| Victoria Hospice | $449 | 126% |
| Cigna | $477 - $4,878 | 134% |
| Monarch Health Plan | $495 | 139% |
| Brand New Day | $500 | 140% |
| Prime Health Srvs | $513 - $6,004 | 144% |
| Coventry Auto Network | $537 | 151% |
| Prime Health Srvs/Wc | $537 | 151% |
| Interplan | $543 - $5,629 | 152% |
| County Of Orange/Custody/Advanced Medmgt | $558 | 157% |
| Coventry Wc | $558 | 157% |
| Veterans Evaluation Services | $561 | 157% |
| Multiplan | $585 - $5,254 | 164% |
| Three Rivers | $585 | 164% |
| Velocity National Provider Network Wc | $597 | 167% |
| Workers Comp State Of California | $597 | 167% |
| Staywell/Island Home Ins | $628 | 176% |
| Three Rivers Network | $785 | 220% |
| Velocity National Provider Network Ppo | $785 | 220% |
| Aetna | $917 | 257% |
| Altamed Mcal Hmo (Ancillary) | $1,367 | 384% |
| Healthcare Partners | $1,367 | 384% |
| Medi-Cal Hmo/Non Contract | $1,367 | 384% |
| Medicaid / KanCare | $1,367 | 384% |
| Choc Health Alliance | $1,914 | 537% |
| County Of Orange | $1,914 | 537% |
| Family Choice | $1,914 | 537% |
| Heritage Provider Network | $1,914 - $3,004 | 537% |
| First Health | $3,940 | 1105% |
| Magellan | $4,503 | 1263% |
| Networks By Design | $5,254 | 1474% |
| Networks By Design Wc | $5,254 | 1474% |
| Healthsmart | $5,629 | 1579% |
| Prime Health | $5,629 | 1579% |
| Pnoa-Provider Network Of America | $6,004 | 1684% |
| Prime Health Srvs/Network | $6,379 | 1790% |
| Lucet Behavioral Health Sr | $7,505 | 2106% |
| Managed Health Network | $7,505 | 2106% |
| Other Insurance Loa | $7,505 | 2106% |
| Other Non Contracted Plans | $7,505 | 2106% |
| Private Pay | $7,505 | 2106% |
| Us Behavioral Health Plan | $7,505 | 2106% |
| Vitas Hospice | $7,505 | 2106% |