MRI, brain (with and without contrast)
Facility: Overland Park Reg Med Ctr
Billing Code: 70553 (CPT)
- CPT Billing Code: 70553
- Insurance Median: $1,420
- Cash Discount Price: $14,549
- vs. Medicare Baseline: 3.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 398% of the Medicare baseline (a markup of 298%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| United | $207 - $6,547 | 58% |
| Amerigroup | $207 | 58% |
| Healthyblue | $211 | 59% |
| Medicaid / KanCare | $213 | 60% |
| Unicare | $215 | 60% |
| Aetna | $215 - $7,420 | 60% |
| Home State Health Plan | $320 | 90% |
| Multiplan | $345 - $10,767 | 97% |
| Corvel Corporation | $410 - $9,457 | 115% |
| Oha Network | $427 - $7,275 | 120% |
| Cigna | $427 - $635 | 120% |
| Blue Cross Blue Shield | $941 - $6,256 | 264% |
| Humana | $1,100 - $1,420 | 309% |
| Ambetter / Centene | $2,706 | 759% |
| Nhc Advantage | $2,764 | 775% |
| Wppa Providrs Care Network | $2,910 | 816% |
| Universal Healthcare | $5,092 | 1429% |
| Coventry | $5,849 | 1641% |
| Coventry Kc Mo | $5,965 | 1674% |
| College Park Family Care Center | $6,256 | 1755% |
| Cco, Inc. | $10,912 | 3061% |
| Triwest Health Alliance | $10,912 | 3061% |
| Focus Healthcare Mgmt, Inc | $10,912 | 3061% |
Consumer Guidance & Cost Commentary
For the MRI of the brain (with and without contrast) at Overland Park Reg Med Ctr in Overland Park, KS, the cash price is $14,549.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $356.43, reflecting a markup of 400% over the federal government's calculated cost. While the facility offers a negotiated rate of $1,420.00 for in-network patients, this amount is still more than three times the Medicare rate. It is important to note that commercial insurance negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to the true cost of care.
Patients should verify whether their specific insurance plan has a deductible that must be met before the negotiated rate applies, as paying out-of-pocket might be more cost-effective if the insurance allowed amount exceeds the cash price. Additionally, patients should ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the costly claims processing cycle. Before scheduling, it is advisable to request an itemized bill to ensure no errors or unbundled charges exist, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.