CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Nell J Redfield Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,281
Cash Discount Price: $2,508
vs. Medicare Baseline: 6.40x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Nell J Redfield Memorial Hospital is $2,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,508. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.40x the Medicare baseline. Located in 150 North 200 West, Malad City, ID.

Cash / Self-Pay

$2,508

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,281

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: $2,508 (704%)

Insurance Median: $2,281 (640%)

Cash: $2,508 (704% of Medicare)

Ins. Median: $2,281 (640% 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 640% of the Medicare baseline (a markup of 540%). 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
Regence Bs Mcr	$1,475	414%
UnitedHealthcare	$1,475 - $2,508	414%
Bc Mcr Adv	$1,490	418%
Choicecare Mcr Adv	$1,490	418%
Aetna	$1,504 - $2,419	422%
Pacificsource Mcr Adv - All Plans	$1,519	426%
Bc Comm - All Other Plans	$2,202	618%
University Of Ut - All Plans	$2,360	662%
Choicecare Ppo - All Other Plans	$2,508	704%
Town & Country - All Plans	$2,508	704%
Brightpath Select Hlth - All Plans	$2,655	745%
Regence Bs Comm - All Other Plans	$7,375	2069%

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 $2,508.
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 Nell J Redfield Memorial 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.