CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Community First Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $511
Cash Discount Price: $2,280
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Community First Medical Center is $511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,280. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.43x the Medicare baseline. Located in 5645 W Addison Street, Chicago, IL.

Cash / Self-Pay

$2,280

Average discount available for prompt cash payment at this facility.

Insurance Median

$511

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: $2,280 (640%)

Insurance Median: $511 (143%)

Cash: $2,280 (640% of Medicare)

Ins. Median: $511 (143% 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.

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
Beacon Mcr Op Only - All Other Plans	$374	105%
Blue Cross Blue Shield	$374 - $1,555	105%
Harmony Mcr Adv - All Other Plans	$374	105%
Humana	$374 - $1,564	105%
Meridian Mcr Adv - All Other Plans	$374	105%
Molina Marketplace - All Other Plans	$374	105%
Molina Mcr Adv	$374	105%
Zing Hlth Mcr Adv - All Plans	$374	105%
Aetna	$511 - $4,560	143%
Beacon Mcaid Op Only	$511	143%
Cchhs Mcaid	$511	143%
County Care Mcaid - All Plans	$511	143%
Harmony Mcaid	$511	143%
Meridian Mcaid	$511	143%
Molina Mcaid	$511	143%
UnitedHealthcare	$617	173%
Cigna	$1,129 - $1,446	317%

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 $2,280.
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 Community First 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.