CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Deaconess Hospital Inc

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $379
  • Cash Discount Price: $1,079
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Deaconess Hospital Inc is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,079. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.06x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$1,079

Average discount available for prompt cash payment at this facility.

Insurance Median
$379

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: $1,079 (303%)
Insurance Median: $379 (106%)
Cash: $1,079 (303% of Medicare)
Ins. Median: $379 (106% 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.

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
UnitedHealthcare $86 - $860 24%
Caresource In Marketplace $151 - $689 42%
Ky Racing Health & Welfare Fund $151 - $1,079 42%
Self-Pay $151 - $1,079 42%
Mhnet $159 45%
Ambetter / Centene $193 - $1,181 54%
Blue Cross Blue Shield $193 - $927 54%
Center Care Narrow Select $193 - $1,929 54%
Center Care Open Access $193 - $2,093 54%
Humana $193 - $1,181 54%
Medicare (plans) $193 - $378 54%
Meridiancare (Il) $193 - $378 54%
Molina (Il) Mmai $193 - $378 54%
Molina Il $193 - $378 54%
Mytru Advantage $193 - $378 54%
Patoka Valley Health Care (80/20 Plan) $193 - $1,181 54%
Patoka Valley Health Care (90/10 Plan) $193 - $1,181 54%
Triwest Vapc3 $193 - $359 54%
Wellcare (Il) Mmai $193 - $378 54%
Aetna $194 - $1,378 54%
Medicaid / KanCare $194 - $818 54%
Meridiancomplete (Il) $194 - $378 54%
Meridianhealth (Il) $194 54%
Youthcare (Meridian Il) $194 54%
Youthcare (Wellcare Il) $194 54%
Caresource In $199 56%
United Behavioral Health $230 65%
Deaconess Onecare $250 - $755 70%
Iu Health Network $250 - $1,168 70%
Allied National $259 - $1,962 73%
Chamber Care $259 - $1,181 73%
Cigna $259 - $2,289 73%
Claimdoc $259 - $1,962 73%
Healthscope $259 - $1,953 73%
Hopetrust $259 - $1,181 73%
Hstechnology $259 - $1,181 73%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $259 - $1,181 73%
Alliance Coal $266 - $1,280 75%
Parkview Signature Care $294 - $2,224 82%
Claritev (Formerly Phcs Multiplan) $302 - $1,378 85%
First Health $302 - $2,420 85%
Noncontracted $308 - $604 86%
Encircle/Encore Combined $314 - $1,575 88%
Encircle/Encore Elite+ $314 - $1,575 88%
Encircle/Encore Prime $314 - $1,575 88%
Naphcare $318 - $623 89%
Healthlink $324 - $2,780 91%
National Rural Electric $380 - $2,878 107%
Immergrun $1,367 384%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals