CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Jay Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $611
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Jay Hospital is $611. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.71x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$320

Average discount available for prompt cash payment at this facility.

Insurance Median
$611

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: $320 (90%)
Insurance Median: $611 (171%)
Cash: $320 (90% of Medicare)
Ins. Median: $611 (171% 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
Wellcare $79 - $469 22%
Aetna $259 - $1,016 73%
Cha Health Plan $259 73%
Simply Healthcare Healthy Kids $259 73%
Humana $272 - $469 76%
Staywell $272 76%
Sunshine Health $272 76%
Medicare (plans) $354 99%
UnitedHealthcare $397 - $2,224 111%
Fl Community Care Ltc $424 119%
Bc Fl $469 132%
Fl Blue $753 - $2,107 211%
Hospice Emerald Coast $1,066 299%
Hospice Regency $1,066 299%
Hospice Vitas $1,066 299%
Cigna $1,183 - $2,131 332%
Private Healthcare $1,385 389%
First Health $1,511 424%
Multiplan $1,897 532%
Wc Corvel $2,024 - $3,220 568%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals