CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Loyola University Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $574
Cash Discount Price: $1,204
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Loyola University Medical Center is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,204. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.61x the Medicare baseline. Located in 2160 S 1St Avenue, Maywood, IL.

Cash / Self-Pay

$1,204

Average discount available for prompt cash payment at this facility.

Insurance Median

$574

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: $1,204 (338%)

Insurance Median: $574 (161%)

Cash: $1,204 (338% of Medicare)

Ins. Median: $574 (161% 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
Blue Cross Blue Shield	$346 - $4,477	97%
Aetna	$372 - $3,744	104%
Humana	$381 - $1,259	107%
Cigna	$383 - $2,106	107%
Molina	$391 - $574	110%
Wellcare	$391	110%
Oscar Ifp	$410	115%
Meridian	$424 - $574	119%
Molina Marketplace Ifp	$547	153%
UnitedHealthcare	$3,036 - $3,310	852%

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 $1,204.
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 Loyola University 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.