CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cheyenne County Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $841
  • Cash Discount Price: $752
  • vs. Medicare Baseline: 2.36x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cheyenne County Hospital is $841. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $752. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.36x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$752

Average discount available for prompt cash payment at this facility.

Insurance Median
$841

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: $752 (211%)
Insurance Median: $841 (236%)
Cash: $752 (211% of Medicare)
Ins. Median: $841 (236% 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 236% of the Medicare baseline (a markup of 136%). 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 $521 146%
First Health - All Plans $620 174%
Aetna $637 - $841 179%
Healthy Blue Mcr Adv $637 179%
Tricare $637 179%
UnitedHealthcare $637 - $885 179%
Choice Care - All Plans $644 181%
Firstguard - All Plans $708 199%
Wppa - All Plans $796 223%
Cpm - All Plans $841 236%
Preferred Hc - All Plans $841 236%
Midlands Choice - All Plans $858 241%
Ppo Next - All Plans $867 243%
Integrated Hp - All Plans $867 243%
Unicare - All Plans $867 243%
Health Partners - All Plans $867 243%
Healthy Blue Mcaid - All Other Plans $885 248%
Healthwave Mcaid - All Plans $885 248%
Childrens Mercy - All Plans $885 248%
Providers Care-All Plans $1,328 373%

Consumer Guidance & Cost Commentary

For the MRI of the brain (with and without contrast) at Cheyenne County Hospital in St. Francis, KS, the facility's cash median price is $752.00, which is lower than the state average of $797.00. While the gross charge listed is $885.00, commercial insurance payers negotiate rates that generally exceed the cash price; for example, UnitedHealthcare's negotiated range spans from $637 to $885, and Providers Care's single plan negotiates at $1,328. Patients with high-deductible plans might find the cash price more affordable if their insurance negotiated rate is higher than $752.00, but it is crucial to verify your specific plan's allowed amount before scheduling to avoid unexpected out-of-pocket costs.

To maximize savings, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the administrative overhead of insurance claims. Additionally, since the facility is a Critical Access Hospital, the Medicare benchmark for this service is $356.43, providing a clear baseline to evaluate pricing fairness. Commercial rates often range significantly above this federal standard due to contract structures and administrative markups, so comparing your specific negotiated rate against the Medicare amount rather than the hospital's full chargemaster list will reveal the true cost of care. Always request an itemized bill to ensure no errors or unbundled charges are included before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals