CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Healthone Rose

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $8,401
Cash Discount Price: $17,802
vs. Medicare Baseline: 23.57x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Healthone Rose is $8,401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,802. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 23.57x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$17,802

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,401

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: $17,802 (4995%)

Insurance Median: $8,401 (2357%)

Cash: $17,802 (4995% of Medicare)

Ins. Median: $8,401 (2357% 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 2357% of the Medicare baseline (a markup of 2257%). 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
Blue Cross Blue Shield	$260 - $13,815	73%
Pinnacol Workers Comp	$592	166%
Multiplan	$617 - $16,802	173%
United	$626 - $8,401	176%
Rocky Mountain Health Plan	$828	232%
Aetna	$1,552 - $2,352	435%
Vail Health	$2,574 - $2,838	722%
Bright Health	$5,080 - $5,601	1425%
Colorado Program For Children With Special Needs	$7,621 - $8,401	2138%
Cigna	$10,838 - $11,948	3041%
Western Plains Community Health	$11,008 - $12,135	3088%
Northcare	$11,854 - $13,068	3326%
Physician Health Partners	$11,854 - $13,068	3326%
Medical Development International	$13,548 - $14,935	3801%
Rocky Mtn Planned Parenthood	$14,395 - $15,869	4039%
Prime Health	$15,242 - $16,802	4276%

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 $17,802.
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 HCA Healthone Rose 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.