CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Longs Peak Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $856
Cash Discount Price: $3,190
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Longs Peak Hospital is $856. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,190. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.40x the Medicare baseline. Located in 1750 E Ken Pratt Blvd, Longmont, CO.

Cash / Self-Pay

$3,190

Average discount available for prompt cash payment at this facility.

Insurance Median

$856

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: $3,190 (895%)

Insurance Median: $856 (240%)

Cash: $3,190 (895% of Medicare)

Ins. Median: $856 (240% 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 240% of the Medicare baseline (a markup of 140%). 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
Aetna	$359 - $958	101%
Blue Cross Blue Shield	$359 - $3,394	101%
Cigna	$359 - $806	101%
Cms	$359	101%
Devoted Health	$359	101%
Humana	$359	101%
Kaiser	$359	101%
Select Health	$359 - $820	101%
UnitedHealthcare	$359 - $1,078	101%
Simplified Benefits Administration	$715 - $3,755	201%
Denver Health Medical Plan	$800 - $4,556	224%
Rocky Mountain Health Plan	$4,648	1304%
First Health	$5,377	1509%
Multiplan	$5,468 - $6,288	1534%
Phcs	$6,379	1790%

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 $3,190.
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 Longs Peak Hospital 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.