CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: East Morgan County Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$301

about 0.8× the $356 Medicare rate · typically $232–$736

modeled estimate · not a bill or quote

Medicare pays $356 Fair price $301 Cash price $991 Hospital's list price $1,526

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$101 - $2,619	28%
Blue Cross Blue Shieldmajor	$101 - $2,121	28%
Aetnamajor	$101 - $2,619	28%
Humanamajor	$107 - $1,284	30%
Banner Health	$101 - $1,211	28%
Cigna HealthSpring	$101 - $1,211	28%
Devoted Health	$111 - $1,332	31%
Health Net	$212 - $2,534	59%
Medica	$101 - $2,346	28%
+ 7 smaller / regional plans	$101 - $2,675

Government programs also on file: Medicare, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 991), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm East Morgan County Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at East Morgan County Hospital

Compare: MRI, brain (with and without contrast) at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.