MRI, brain (with and without contrast)
Facility: Menorah Medical Center
Billing Code: 70553 (CPT)
- CPT Billing Code: 70553
- Insurance Median: $1,420
- Cash Discount Price: $17,932
- 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 - $8,069 | 58% |
| Amerigroup | $207 | 58% |
| Healthyblue | $211 | 59% |
| Medicaid / KanCare | $213 | 60% |
| Unicare | $215 | 60% |
| Aetna | $215 - $9,145 | 60% |
| Home State Health Plan | $320 | 90% |
| Multiplan | $345 - $13,270 | 97% |
| Corvel Corporation | $410 - $11,656 | 115% |
| Cigna | $427 - $14,346 | 120% |
| Oha Network | $427 - $8,966 | 120% |
| Blue Cross Blue Shield | $941 - $8,069 | 264% |
| Humana | $1,100 - $1,420 | 309% |
| Ambetter / Centene | $3,335 | 936% |
| Nhc Advantage | $3,407 | 956% |
| Wppa Providrs Care Network | $3,586 | 1006% |
| Universal Healthcare | $6,276 | 1761% |
| Coventry | $7,209 | 2023% |
| Coventry Kc Mo | $7,352 | 2063% |
| College Park Family Care Center | $7,711 | 2163% |
| Triwest Health Alliance | $13,449 | 3773% |
| Cco, Inc. | $13,449 | 3773% |
| Focus Healthcare Mgmt, Inc | $13,449 | 3773% |
Consumer Guidance & Cost Commentary
The cash price for this MRI, brain (with and without contrast) procedure at Menorah Medical Center in Overland Park, KS, is $17,932. This facility is a Proprietary Acute Care Hospital located at 5721 West 119Th Street. While the facility rating is 3, patients should note that paying cash upfront often results in a lower total cost than using insurance, as commercial negotiated rates can sometimes exceed the cash price. For instance, United Health offers a high-end negotiated rate of $8,069, which is still significantly higher than the cash rate, though some other payers like Amerigroup and Healthyblue have negotiated rates starting at $207.
When comparing to federal benchmarks, the cash price of $17,932 is roughly 503% of the Medicare amount of $356.43, indicating a substantial markup over the government's fixed reimbursement rate. Although the data does not provide specific state or county average figures for comparison, patients are encouraged to verify their specific plan's negotiated rates before scheduling. It is important to ask the hospital about "self-pay" or "prompt-pay" discounts prior to check-in, as these upfront payment incentives can further reduce the final bill. Additionally, patients should request a full itemized CPT-coded bill rather than accepting a summary invoice to ensure no unbundled codes or services not rendered are included in the charge.