CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $388
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Southeast Iowa Regional Medical Center is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.09x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$388

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%)
Insurance Median: $388 (109%)
Ins. Median: $388 (109% 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
American Healthplan Of Iowa - Midlevel $84 - $168 24%
Medicaid / KanCare $97 - $733 27%
Humana $105 - $207 29%
American Healthplan Of Iowa - Md $110 - $213 31%
Aetna $111 - $233 31%
UnitedHealthcare $157 - $310 44%
Plain Church $211 - $3,853 59%
Midlands Choice $231 - $5,335 65%
Blue Cross Blue Shield $241 - $1,183 68%
Absolute Solutions $292 - $802 82%
First Agency $292 - $802 82%
Multiplan $292 - $802 82%
Henderson County $308 - $846 86%
Wellpoint (Amerigroup) $3,320 931%
Immugrun $3,735 1048%
Brighton Amish Church $3,853 1081%
6 Degree $4,742 1330%
Geha $5,513 1547%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals