CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Perry County Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,517
Cash Discount Price: $2,998
vs. Medicare Baseline: 7.06x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Perry County Memorial Hospital is $2,517. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,998. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.06x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$2,998

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,517

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: $2,998 (841%)

Insurance Median: $2,517 (706%)

Cash: $2,998 (841% of Medicare)

Ins. Median: $2,517 (706% 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 706% of the Medicare baseline (a markup of 606%). 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
Medicaid / KanCare	$756 - $4,283	212%
Veterans Administration	$1,071 - $4,283	300%
Bc 130	$1,114 - $3,422	313%
Group Insurance	$1,114 - $4,283	313%
Medicare (plans)	$1,114	313%
Workers Compensation	$2,142	601%
Nsa	$2,517 - $2,644	706%
Guarantor Liable	$2,998 - $4,283	841%
Pcmh Insurnace	$3,341 - $4,283	937%
Secondary Insurance	$3,422	960%
UnitedHealthcare	$3,422	960%
Operating Engineers	$3,641	1022%
Boilermakers Healthcare	$3,726	1045%
Cigna	$3,726	1045%
Great West	$3,726 - $4,283	1045%
Sagxxxx	$3,726	1045%
Champus	$4,283	1202%
Ngs American, Inc	$4,283	1202%
Patoka Valley	$4,283	1202%
Southwire	$4,283	1202%
Tricare	$4,283	1202%
Wausau Benefits	$4,283	1202%

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 $2,998.
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 Perry County Memorial Hospital 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.