CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Salem Township Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$941
about 2.6× the $356 Medicare rate · typically $420–$1,987
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,532
Above the fair price
about $591 over the fair price · 4.3× Medicare
Medicare pays $356 Fair price $941 This hospital $1,532 Cash price $2,365 Hospital's list price $5,912

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $191 Priciest $1,532

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $941 (about 2.6× the $356 Medicare rate). Salem Township Hospital charges insurers about $1,532, or about $2,365 in cash — above the fair price. Located in Salem, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $941. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,655 464%
Humanamajor $1,408 395%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1201 Ricker Drive, Salem, IL 62881
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals