CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Grisell Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $785
  • Cash Discount Price: $855
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Grisell Memorial Hospital is $785. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $855. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.20x the Medicare baseline. Located in 210 South Vermont Avenue, Ransom, KS.
Cash / Self-Pay
$855

Average discount available for prompt cash payment at this facility.

Insurance Median
$785

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: $855 (240%)
Insurance Median: $785 (220%)
Cash: $855 (240% of Medicare)
Ins. Median: $785 (220% 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 220% of the Medicare baseline (a markup of 120%). 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.

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 $495 139%
UnitedHealthcare $670 - $900 188%
Humana $900 253%
Medicaid / KanCare $900 253%

Consumer Guidance & Cost Commentary

For the MRI of the brain (with and without contrast) at Grisell Memorial Hospital in Ransom, KS, the cash median price is $855.00, which is lower than the facility's negotiated rates of $785.00 and the Medicare benchmark of $356.43. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans might find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates paid by payers like UnitedHealthcare and Humana exceed the cash amount. It is important to note that while the facility offers a cash rate, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final bill by bypassing administrative claim processing fees.

Insurance coverage varies significantly by plan, with Blue Cross Blue Shield paying a fixed $495 and Medicaid/KanCare also at $900, while UnitedHealthcare plans range from $670 to $900. Because the facility is an in-network location for these payers, the No Surprises Act protects patients from balance billing for emergency care or non-emergency services from out-of-network providers at this hospital. However, patients should still request a full itemized CPT-coded bill to verify that no unbundled codes or services not rendered have inflated the total, as over 80% of hospital bills contain errors. Comparing these specific allowed amounts to the state average helps ensure that the commercial rates charged are fair relative to the regional cost baseline established by Medicare.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals