CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Johnson Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,197
Cash Discount Price: $3,745
vs. Medicare Baseline: 8.97x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Johnson Memorial Hospital is $3,197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,745. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.97x the Medicare baseline. Located in 1125 W Jefferson St, Franklin, IN.

Cash / Self-Pay

$3,745

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,197

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: $3,745 (1051%)

Insurance Median: $3,197 (897%)

Cash: $3,745 (1051% of Medicare)

Ins. Median: $3,197 (897% 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 897% of the Medicare baseline (a markup of 797%). 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
Blue Cross Blue Shield	$194 - $2,459	54%
Aetna	$369 - $3,789	104%
Humana	$369 - $3,741	104%
Cigna	$613	172%
Unified Group - All Plans	$2,765 - $2,904	776%
Encore - All Plans	$3,151 - $3,309	884%
UnitedHealthcare	$3,197 - $3,511	897%
Siho - All Plans	$4,110 - $4,316	1153%
Multiplan - All Plans	$4,430 - $4,652	1243%

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 $3,745.
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 Johnson Memorial Hospital 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.