CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Carle Hoopeston Regional Health Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,945
Cash Discount Price: $8,033
vs. Medicare Baseline: 11.07x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Carle Hoopeston Regional Health Center is $3,945. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,033. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.07x the Medicare baseline. Located in 701 East Orange Street, Hoopeston, IL.

Cash / Self-Pay

$8,033

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,945

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: $8,033 (2254%)

Insurance Median: $3,945 (1107%)

Cash: $8,033 (2254% of Medicare)

Ins. Median: $3,945 (1107% 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 1107% of the Medicare baseline (a markup of 1007%). 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
Humana	$374 - $4,033	105%
Aetna	$404 - $6,442	113%
Meridian	$803 - $1,687	225%
Blue Cross Blue Shield	$1,687 - $5,623	473%
Molina	$1,687 - $2,410	473%
UnitedHealthcare	$1,687 - $6,025	473%
Wellcare	$1,687 - $4,033	473%
Cigna	$6,266	1758%
Multiplan/Phcs	$6,426 - $6,828	1803%
Healthlink	$7,230	2028%

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 $8,033.
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 Carle Hoopeston Regional Health 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.