CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Sacred Heart Hospital on the Emerald Coast

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $362
Cash Discount Price: $1,326
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Sacred Heart Hospital on the Emerald Coast is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,326. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.02x the Medicare baseline. Located in 7800 Us Hwy 98 W, Miramar Beach, FL.

Cash / Self-Pay

$1,326

Average discount available for prompt cash payment at this facility.

Insurance Median

$362

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: $1,326 (372%)

Insurance Median: $362 (102%)

Cash: $1,326 (372% of Medicare)

Ins. Median: $362 (102% 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
Aarp Mcr Hmo	$358	100%
Blue Mcr Replacement	$358	100%
Facility Billing - Op	$358	100%
Medicare (plans)	$358	100%
Triwest	$358	100%
Wellcare	$358	100%
Healthspring Mcr Replacement	$362 - $366	102%
Smarthealth	$362	102%
UnitedHealthcare	$362 - $824	102%
Aetna	$369 - $1,645	104%
Humana	$369	104%
Oscar Health Plan	$574	161%
Ambetter / Centene	$591	166%
Occunet	$663 - $807	186%
Cigna	$1,823	511%

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 $1,326.
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 Sacred Heart Hospital on the Emerald Coast 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.