CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: The Women's Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $343
  • Cash Discount Price: $3,680
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at The Women's Hospital is $343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,680. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.96x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$3,680

Average discount available for prompt cash payment at this facility.

Insurance Median
$343

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: $3,680 (1032%)
Insurance Median: $343 (96%)
Cash: $3,680 (1032% of Medicare)
Ins. Median: $343 (96% 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 - $4,990 24%
Chamber Care $101 - $4,366 28%
Immergrun $121 - $2,607 34%
Amish $137 - $689 38%
Self Pay $151 - $3,680 42%
Encorecombined $159 - $4,366 45%
Encoreprime $159 - $4,242 45%
Blue Cross Blue Shield $193 - $1,256 54%
Caresource $193 - $343 54%
Humana $193 - $1,435 54%
Iu Health $193 - $3,119 54%
Meridian Health Il $193 - $343 54%
Mhs $193 - $343 54%
Molina Il $193 - $343 54%
Molina Ky $193 - $343 54%
Molina Ky Dual $193 - $343 54%
Patoka Valley Health Care (80/20 Plan) $193 - $3,867 54%
Patoka Valley Health Care (90/10 Plan) $193 - $3,742 54%
Wellcare Ky $193 - $1,435 54%
Aetna $194 - $4,154 54%
Caresource Hip $194 - $199 54%
Caresource In $194 - $199 54%
Mdwise Hip $194 - $199 54%
Mhs Behavioral $194 - $199 54%
Ambetter / Centene $221 - $531 62%
Caresource Marketplace (Just4Me) $250 - $514 70%
One Care $250 - $4,366 70%
Alliance Coal $259 - $4,324 73%
Allied National/Zelis - Freedom Plan $259 - $1,181 73%
Center Care $259 - $4,865 73%
Cigna $259 - $1,971 73%
Sagamore $259 - $1,971 73%
Hst $260 - $514 73%
Claimdoc $279 - $1,339 78%
Claritev (Formerly Phcs/Mulitplan) $302 - $4,304 85%
First Health/Coventry $302 - $4,616 85%
Healthlink $302 - $5,302 85%
Hope Trust $308 - $566 86%
Noncontracted $308 - $548 86%
Passport Molina Ky $672 - $1,435 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals