CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Gunnison Valley Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $548
Cash Discount Price: $1,964
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Gunnison Valley Hospital is $548. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,964. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.54x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$1,964

Average discount available for prompt cash payment at this facility.

Insurance Median

$548

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: $1,964 (551%)

Insurance Median: $548 (154%)

Cash: $1,964 (551% of Medicare)

Ins. Median: $548 (154% 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.

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
Cigna	$95 - $3,971	27%
Medicare (plans)	$106 - $1,985	30%
Aetna	$154 - $3,890	43%
Apostrophe-All Plans	$175 - $3,647	49%
Gunnison County Sheriff Op & Profee Only	$292 - $2,080	82%
Ebms Hdhp	$341 - $2,431	96%
Tetwp Op & Profee Only-All Plans	$341 - $2,431	96%
U Of Co Transplant-All Plans	$341 - $2,431	96%
Medicaid / KanCare	$357 - $548	100%
Ebms Ppo Plan-All Other Plans	$398 - $2,836	112%
Gunnison County Employees-All Other Plans	$455 - $3,242	128%
Scottish Rites-All Plans	$455 - $3,242	128%
Elap Employers-All Plans	$483 - $3,444	136%
Blue Cross Blue Shield	$498 - $3,552	140%
Multiplan-All Plans	$512 - $3,768	144%
Rocky Mountain Health-All Plans	$540 - $3,849	152%
UnitedHealthcare	$540 - $3,849	152%
Cofinity-All Plans	$546 - $3,890	153%
Gunnison County Coroner Op Only	$2,080	584%

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 $1,964.
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 Gunnison Valley 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.