CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Memorial Care Miller Children's & Women's Hosp Lb

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,010
Cash Discount Price: $11,782
vs. Medicare Baseline: 2.83x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Memorial Care Miller Children's & Women's Hosp Lb is $1,010. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,782. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.83x the Medicare baseline. Located in 2801 Atlantic Avenue, Long Beach, CA.

Cash / Self-Pay

$11,782

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,010

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: $11,782 (3306%)

Insurance Median: $1,010 (283%)

Cash: $11,782 (3306% of Medicare)

Ins. Median: $1,010 (283% 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 283% of the Medicare baseline (a markup of 183%). 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
Select Health	$292	82%
Monarch Health Plan	$426 - $1,189	120%
Caremore	$449	126%
UnitedHealthcare	$458	128%
Blue Cross Blue Shield	$470 - $1,274	132%
Global Care Medical Group	$538	151%
Healthcare Partners	$561 - $1,220	157%
Molina	$727	204%
Centivo	$1,010	283%
Cigna	$1,030 - $1,524	289%
Blue Shield	$8,535 - $12,608	2395%

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 $11,782.
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 Memorial Care Miller Children's & Women's Hosp Lb 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.