CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $2,438
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 6.84x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Intermountain Health St. Mary's Regional Hospital is $2,438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.84x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,438

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%)
Insurance Median: $2,438 (684%)
Ins. Median: $2,438 (684% 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 684% of the Medicare baseline (a markup of 584%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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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
Select Health $359 101%
UnitedHealthcare $359 - $2,747 101%
Blue Cross Blue Shield $1,045 - $1,994 293%
Monument Health $1,505 - $1,560 422%
Cigna $1,854 - $2,227 520%
Allegiance $2,149 - $2,227 603%
Aetna $2,265 - $2,753 635%
Kaiser Perm Ppo/Pos $2,438 - $2,527 684%
Geha $2,515 - $2,747 706%
Meritain Health $2,515 - $2,607 706%
Humana $2,644 - $2,741 742%
Cofinity $2,656 - $2,753 745%
First Health Network $2,656 - $2,753 745%
Private Hlthcare Sys $2,794 - $2,896 784%
Public Employees Health $2,914 - $3,021 818%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2635 N 7Th St, Grand Junction, CO 81501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals