CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Hancock Regional Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $2,929
  • Cash Discount Price: $2,929
  • vs. Medicare Baseline: 8.22x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Hancock Regional Hospital is $2,929. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,929. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.22x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$2,929

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,929

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: $2,929 (822%)
Insurance Median: $2,929 (822%)
Cash: $2,929 (822% of Medicare)
Ins. Median: $2,929 (822% 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 822% of the Medicare baseline (a markup of 722%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $2,734 54%
Mhs/Mdwise Mcaid-All Plans $194 54%
UnitedHealthcare $194 - $2,837 54%
Iu Health Mcr Adv $369 104%
Triwest - All Plans $369 104%
Va Ccn - All Plans $369 104%
Caresource Mcr Adv $376 105%
Beech Street Mcr Adv $380 107%
Humana $380 - $3,478 107%
Allwell Mcr Adv - All Plans $388 109%
Communicare Mcr Adv - All Plans $388 109%
Ambetter / Centene $738 207%
Caresource Comm - All Other Plans $923 259%
Iu Health-All Other Plans $1,015 285%
Ascension - All Plans $2,746 770%
Aetna $2,782 - $3,661 781%
Cigna $2,929 822%
Encore Encircle $2,929 822%
Hancock Phys Network-All Plans $2,929 822%
Unified Group Services- All Plans $2,929 822%
Advantage Self Funded Ppo-All Other Plans $3,002 842%
Healthmark/Healthchoice-All Plans $3,002 842%
Sagamore-All Plans $3,002 842%
Encore-All Other Plans $3,112 873%
Consumers Life-All Plans $3,222 904%
St Vincent Cmo-All Plans $3,222 904%
Siho-All Plans $3,295 924%
Great West-All Plans $3,368 945%
Savility - All Plans $3,368 945%
Cofinity/Ppom - All Plans $3,405 955%
First Health/Coventry-All Plans $3,441 965%
Mail Handlers-All Plans $3,441 965%
Golden Rule Ins-All Plans $3,478 976%
Indiana Health Network-All Plans $3,478 976%
Phcs-All Plans $3,478 976%
Beech Street Ppo - All Other Plans $3,515 986%
Comm Hlth Alliance - All Plans $3,551 996%
Multiplan-All Plans $3,588 1007%
Advantage Preferred Plus $3,661 1027%
Healthy Indiana Plan-All Plans $3,661 1027%
Copps - All Plans $7,540 2115%
Pro Health - All Plans $10,983 3081%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals