CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Hendricks Regional Health

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,631
Cash Discount Price: $932
vs. Medicare Baseline: 4.58x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Hendricks Regional Health is $1,631. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $932. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.58x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$932

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,631

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: $932 (261%)

Insurance Median: $1,631 (458%)

Cash: $932 (261% of Medicare)

Ins. Median: $1,631 (458% 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 458% of the Medicare baseline (a markup of 358%). 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	$369 - $1,521	104%
Humana	$369 - $1,926	104%
Va Ccn	$369	104%
Caresource Exchange	$376	105%
Medicare (plans)	$376 - $388	105%
Aetna	$380 - $2,190	107%
Ambetter / Centene	$738	207%
UnitedHealthcare	$1,398 - $1,661	392%
Encore Encircle Network	$1,631	458%
Sagamore Health Incumbent Program	$1,685	473%
Cigna	$1,724	484%
Sagamorehealth Network	$1,801	505%
Siho Commercial Network	$1,864	523%
Multiplan	$2,050	575%
Encore Health Network	$2,120	595%
Multiplan/Beech Street	$2,214	621%
Multiplan/ Complementary	$2,237	628%

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 $932.
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 Hendricks Regional Health 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.