CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,090
Cash Discount Price: $1,591
vs. Medicare Baseline: 5.86x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cameron Memorial Community Hospital Inc is $2,090. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,591. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.86x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$1,591

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,090

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: $1,591 (446%)

Insurance Median: $2,090 (586%)

Cash: $1,591 (446% of Medicare)

Ins. Median: $2,090 (586% 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 586% of the Medicare baseline (a markup of 486%). 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	$194 - $1,705	54%
Caresource Indiana Of In	$194 - $976	54%
Managed Health Services	$194	54%
Mdwise	$194	54%
Aetna	$849 - $2,291	238%
Humana	$849 - $2,291	238%
UnitedHealthcare	$849 - $2,090	238%
Plain Church Group Ministry	$1,034	290%
Centivo	$1,443	405%
Lucent	$1,443	405%
Phcs	$1,989	558%
Php	$2,011	564%
Sagamore Health Network	$2,047	574%
Signature Care	$2,201 - $2,334	618%
Three Rivers Preferred	$2,254	632%
Cigna	$2,289	642%
Coventry	$2,334	655%
Lutheran Preferred	$2,387	670%
Frontpath	$2,440	685%
Encore	$2,441	685%
Corvel	$2,466	692%

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 $1,591.
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 Cameron Memorial Community Hospital Inc 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.