CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Ascension St Vincent Fishers

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $233
  • Cash Discount Price: $583
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Ascension St Vincent Fishers is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.65x the Medicare baseline. Located in 13861 Olio Road, Fishers, IN.
Cash / Self-Pay
$583

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

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: $583 (164%)
Insurance Median: $233 (65%)
Cash: $583 (164% of Medicare)
Ins. Median: $233 (65% 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
Blue Cross Blue Shield $82 - $756 23%
Medicaid / KanCare $82 - $270 23%
Mhs Care Connect $82 - $270 23%
UnitedHealthcare $109 - $842 31%
Aetna $233 - $700 65%
Ambetter / Centene $233 65%
Ascension Complete Mcr $233 65%
Caresource Marketplace $233 65%
Corizon $233 65%
Humana $233 65%
Immergrun $233 65%
Medicare (plans) $233 65%
Personalized Care $233 65%
Secure Horizons-Pacificare $233 65%
Smarthealth Ppo $414 116%
Smarthealth Ppo/Hdhp 20161001 $414 116%
Encore Exclusive $440 123%
Patoka Valley Tier 1 $440 123%
Patoka Valley Tier 2 $440 123%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13861 Olio Road, Fishers, IN 46037
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals