CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $322
Cash Discount Price: $1,285
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cleveland Clinic Martin North Hospital is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,285. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.90x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.

Cash / Self-Pay

$1,285

Average discount available for prompt cash payment at this facility.

Insurance Median

$322

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: $1,285 (361%)

Insurance Median: $322 (90%)

Cash: $1,285 (361% of Medicare)

Ins. Median: $322 (90% 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
Blue Cross Blue Shield	$88 - $1,020	25%
Avmed	$108 - $1,380	30%
Miami Childrens Health Plan	$108 - $358	30%
United	$108 - $859	30%
Careplus	$113 - $376	32%
Freedom Health	$113 - $376	32%
Independent Living Systems	$113 - $220	32%
Clear Spring Health	$117 - $467	33%
Cigna	$128 - $1,493	36%
Aetna	$134 - $2,896	38%
Multiplan	$162 - $442	45%
Humana	$358	100%
Wellcare	$358	100%
Devoted Health	$394	111%
Clarity Health	$640 - $1,930	180%
The Legacy Companies	$640 - $1,930	180%
Consociate Health	$739 - $2,227	207%
Bmi	$1,633	458%

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 $1,285.
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 Cleveland Clinic Martin North 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.