CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Glenn Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,728
Cash Discount Price: $3,152
vs. Medicare Baseline: 13.26x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Glenn Medical Center is $4,728. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,152. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.26x the Medicare baseline. Located in 1133 W Sycamore St, Willows, CA.

Cash / Self-Pay

$3,152

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,728

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: $3,152 (884%)

Insurance Median: $4,728 (1326%)

Cash: $3,152 (884% of Medicare)

Ins. Median: $4,728 (1326% 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 1326% of the Medicare baseline (a markup of 1226%). 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
Medi-Cal	$594	167%
Ca Health And Wellness - All Plans	$660	185%
UnitedHealthcare	$1,576 - $4,203	442%
Humana	$2,049	575%
Blue Cross Blue Shield	$2,069 - $4,728	580%
Blue Shield Exch	$4,255	1194%
Cigna	$4,465	1253%
First Health - All Plans	$4,465	1253%
Healthnet - All Plans	$4,465	1253%
Beech Street - All Plans	$4,728	1326%
Blue Shield Ppo/Hmo - All Other Plans	$4,728	1326%
Dept Of Corrections - All Plans	$4,728	1326%
Galaxy Health Network - All Plans	$4,728	1326%
Interplan - All Plans	$4,728	1326%
Pacific Health Alliance - All Plans	$4,728	1326%
Pponext - All Plans	$4,728	1326%
Superior Ca Ppo - All Plans	$4,728	1326%
Integrated Hp - All Plans	$4,885	1371%
Health Mgmt Network - All Plans	$4,990	1400%
Networks By Design - All Plans	$4,990	1400%
Three Rivers - All Plans	$4,990	1400%

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 $3,152.
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 Glenn Medical Center 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.