CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Grady Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $355
  • Cash Discount Price: $7,610
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Grady Memorial Hospital is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,610. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.
Cash / Self-Pay
$7,610

Average discount available for prompt cash payment at this facility.

Insurance Median
$355

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: $7,610 (2135%)
Insurance Median: $355 (100%)
Cash: $7,610 (2135% of Medicare)
Ins. Median: $355 (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
Aetna $105 - $3,386 29%
Ambetter / Centene $105 - $1,126 29%
Amerigroup $105 - $1,237 29%
Blue Cross Blue Shield $105 - $6,088 29%
Caresource $105 - $1,135 29%
Cigna $105 - $4,501 29%
Humana $105 - $355 29%
Kaiser $105 - $5,768 29%
Medicare (plans) $105 - $355 29%
Peach State $105 - $1,135 29%
UnitedHealthcare $105 - $5,479 29%
Vaccn $105 - $355 29%
Wellcare $105 - $355 29%
Clear Spring Health $111 - $373 31%
Clover $111 - $373 31%
Usp Naphcare $116 - $4,566 33%
Oscar Health $148 - $4,946 42%
Multiplan $5,860 1644%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals