CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Memorial Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,796
Cash Discount Price: $7,994
vs. Medicare Baseline: 13.46x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Memorial Medical Center is $4,796. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,994. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.46x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$7,994

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,796

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: $7,994 (2243%)

Insurance Median: $4,796 (1346%)

Cash: $7,994 (2243% of Medicare)

Ins. Median: $4,796 (1346% 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 1346% of the Medicare baseline (a markup of 1246%). 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
Veterans Administration	$265	74%
Blue Cross Blue Shield	$295 - $7,994	83%
Aetna	$368 - $6,075	103%
Health Alliance	$368 - $5,196	103%
Medicare (plans)	$368 - $7,994	103%
Tricare	$368	103%
UnitedHealthcare	$368 - $4,956	103%
Humana	$386 - $4,796	108%
Medicaid / KanCare	$511	143%
Molina	$521	146%
Cigna	$1,838	516%
Healthlink	$2,032 - $5,036	570%
Commercial Workers Compensation	$2,166	608%
Illinois Workers Compensation	$2,280	640%
Current Health Network Ppo	$3,597	1009%
Phcs/Multiplan	$4,317 - $4,796	1211%
6 Degrees Health	$4,796	1346%
Hopetrust	$4,796	1346%
Hst	$4,796	1346%
Magellan	$4,796	1346%
Consociate	$5,196	1458%
Hfn	$5,196	1458%
Preferred Plan	$5,996	1682%
Soi Mcfarland	$5,996	1682%
Soi Rushville	$5,996	1682%
Corvel	$6,395	1794%
Methodist First Choice	$6,395	1794%
Mutual Medical Plans	$6,795	1906%
Liability	$7,994	2243%

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 $7,994.
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 Memorial Medical Center 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.