CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: University of Miami Hospital and Clinics

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,365
Cash Discount Price: $2,264
vs. Medicare Baseline: 12.25x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at University of Miami Hospital and Clinics is $4,365. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,264. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.25x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$2,264

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,365

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: $2,264 (635%)

Insurance Median: $4,365 (1225%)

Cash: $2,264 (635% of Medicare)

Ins. Median: $4,365 (1225% 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 1225% of the Medicare baseline (a markup of 1125%). 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
UnitedHealthcare	$356 - $3,389	100%
Aetna	$385 - $4,050	108%
Solis Health	$392	110%
Humana	$405	114%
Sunshine Health	$1,783	500%
Careplus	$2,097	588%
Molina Healthcare Of Fl	$2,438	684%
Oscar Health Of Fl	$2,600	729%
Amerihealth Caritas Fl	$2,625	736%
Avmed	$2,756 - $3,675	773%
Blue Cross Blue Shield	$3,593 - $5,076	1008%
Curative	$3,950	1108%
Cigna	$3,984 - $4,800	1118%
Employers Health Network	$5,032	1412%
Simply Healthcare	$5,032	1412%
First Health	$5,452	1530%
Health First New York Health Insurance	$5,452	1530%
Broward Health	$5,871	1647%
Beech Street	$6,710	1883%
Dimension Health	$6,710	1883%
Multiplan	$6,710	1883%

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 $2,264.
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 University of Miami Hospital and Clinics 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.