CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Casa Colina Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $553
  • Cash Discount Price: $583
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Casa Colina Hospital is $553. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.55x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$583

Average discount available for prompt cash payment at this facility.

Insurance Median
$553

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: $583 (164%)
Insurance Median: $553 (155%)
Cash: $583 (164% of Medicare)
Ins. Median: $553 (155% 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
Heritage Prvdr Ntwrk Mcal $359 101%
Prospect Hp Mcal $404 113%
Promed Hlth Ntwrk Op Only - All Plans $426 120%
Heritage Prvdr Ntwrk Comm - All Other Plans $442 - $1,123 124%
Heritage Prvdr Ntwrk Mcr $442 - $1,123 124%
Aetna $449 - $1,404 126%
Blue Cross Blue Shield $449 - $1,645 126%
Blue Shield Mcr Adv $449 126%
Caremore Mcr Adv - All Plans $449 126%
Central Hlth Plan - All Plans $449 126%
Doctors Managed Op Only - All Plans $449 126%
Empire Healthcare Op Only - All Plans $449 126%
Epic Comm - All Other Plans $449 - $525 126%
Epic Mcr Adv $449 - $525 126%
Focus Healthcare Wc - All Plans $449 126%
Healthnet Mcr Adv $449 126%
Humana $449 - $1,404 126%
Iehp - All Other Plans $449 126%
Iehp Mcr Adv $449 126%
Kaiser Comm - All Other Plans $449 126%
Kaiser Mcr Adv $449 126%
Premiercare Op Only - All Plans $449 126%
Prospect Hp Mcr Adv $449 126%
Triwest - All Plans $449 126%
UnitedHealthcare $449 - $1,404 126%
Wellcare Mcr Adv - All Plans $449 126%
Healthnet Comm - All Other Plans $453 - $1,151 127%
Prospect Hp Comm - All Other Plans $494 139%
Healthcare Partners - All Other Plans $525 - $884 147%
Healthcare Partners Mcr $525 - $884 147%
Primecare Comm - All Other Plans $525 - $884 147%
Primecare Mcr Adv $525 - $884 147%
Corvel - All Plans $553 - $1,404 155%
Coventry - All Plans $553 - $1,404 155%
Multiplan - All Plans $553 - $1,404 155%
Three Rivers - All Plans $553 - $1,404 155%
Affiliated Hlth Funds - All Plans $561 157%
Medi-Cal $594 167%
Cigna $618 - $1,128 173%
Kaiser Mcal $654 183%
Brand New Day Mcr Adv - All Plans $663 - $1,685 186%
Galaxy Provdr Ntwrk - All Plans $774 - $1,966 217%
Blue Shield Comm - All Other Plans $817 - $2,075 229%
Prospect Med Grp Alta - All Plans $940 - $2,387 264%
Iehp Mcal $1,105 - $1,486 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals