CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Athur M Blank Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,369
Cash Discount Price: $6,374
vs. Medicare Baseline: 12.26x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Athur M Blank Hospital is $4,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,374. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.26x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$6,374

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,369

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: $6,374 (1788%)

Insurance Median: $4,369 (1226%)

Cash: $6,374 (1788% of Medicare)

Ins. Median: $4,369 (1226% 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 1226% of the Medicare baseline (a markup of 1126%). 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
Peachstate [43]	$2,724	764%
Caresource [61]	$2,800	786%
Amerigroup [102]	$2,934	823%
Cigna	$4,213	1182%
Blue Cross Blue Shield	$4,229 - $6,222	1186%
United [5]	$4,229	1186%
Ambetter / Centene	$4,267	1197%
Oscar [228]	$4,271	1198%
Aetna	$4,290	1204%
Caresource Marketplace Bronze/Silver/Gold [60]	$4,331	1215%
Kaiser [6]	$4,340	1218%
Sidecar Health [236]	$4,398	1234%
Direct Employer Agreements [72]	$4,462 - $5,418	1252%
Coventry [9]	$4,473	1255%
Northeast Georgia Heatlh System [808]	$4,780	1341%
Veracity Benefits [809]	$4,780	1341%
First Health [74]	$4,784	1342%
Phcs [93]	$5,418	1520%
Secure Health [340]	$5,418	1520%
Beech Street [71]	$5,737	1610%
Multiplan [92]	$6,247	1753%
Novanet [41]	$6,374	1788%

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 $6,374.
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 Athur M Blank Hospital 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.