CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: HCA Healthone Spalding Rehabilitation

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,925
Cash Discount Price: $8,782
vs. Medicare Baseline: 8.21x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at HCA Healthone Spalding Rehabilitation is $2,925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,782. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.21x the Medicare baseline. Located in 900 Potomac St, Aurora, CO.

Cash / Self-Pay

$8,782

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,925

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: $8,782 (2464%)

Insurance Median: $2,925 (821%)

Cash: $8,782 (2464% of Medicare)

Ins. Median: $2,925 (821% 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 821% of the Medicare baseline (a markup of 721%). 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
Pinnacol Workers Comp	$592	166%
Multiplan	$617 - $7,904	173%
United	$626 - $3,952	176%
Rocky Mountain Health Plan	$828	232%
Vail Health	$1,335	375%
Blue Cross Blue Shield	$1,852 - $5,972	520%
Cigna	$2,362 - $5,621	663%
Aetna	$2,635 - $4,453	739%
Kaiser	$2,925 - $5,234	821%
Western Plains Community Health	$5,709	1602%
Triwest Health Alliance	$7,026	1971%
Prime Health	$7,904	2218%

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 $8,782.
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 Spalding Rehabilitation 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.