CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $358
  • Cash Discount Price: $1,285
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cleveland Clinic Indian River Hospital is $358. 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 1.00x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.
Cash / Self-Pay
$1,285

Average discount available for prompt cash payment at this facility.

Insurance Median
$358

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: $358 (100%)
Cash: $1,285 (361% of Medicare)
Ins. Median: $358 (100% 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.

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 $105 - $1,506 29%
Avmed $108 - $821 30%
Careplus $108 - $358 30%
Magellan $108 - $1,781 30%
United $108 - $358 30%
Value Options $108 30%
Wellcare $108 - $358 30%
Freedom Health $113 - $358 32%
Independent Living Systems $113 - $376 32%
Wellmed $113 - $358 32%
Clear Spring Health $117 - $455 33%
Cigna $128 - $891 36%
Aetna $130 - $2,375 36%
Carelon Bh Strategies $358 100%
Humana $358 100%
Devoted Health $394 111%
Clarity Health $640 - $1,930 180%
The Legacy Companies $640 - $1,930 180%
National Provider Network $690 194%
Three Rivers $690 194%
Consociate Health $739 207%
Bmi $1,633 458%
Multiplan $2,375 666%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 36Th St, Vero Beach, FL 32960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals