CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Bob Wilson Memorial Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$915

about 2.6× the $356 Medicare rate · typically $372–$1,806

modeled estimate · not a bill or quote

What this hospital charges insurers

$640

Below the fair price — a good deal

about $275 under the fair price · 1.8× Medicare

Medicare pays $356 Fair price $915 This hospital $640 Cash price $1,634 Hospital's list price $4,084

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $107 Priciest $640

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $915 (about 2.6× the $356 Medicare rate). Bob Wilson Memorial Hospital charges insurers about $640, or about $1,634 in cash — below the fair price — a good deal. Located in Ulysses, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,307 - $3,406	367%
Blue Cross Blue Shieldmajor	$737	207%
Aetnamajor	$1,307 - $3,267	367%
Humanamajor	$1,307	367%
HealthPartners	$3,839	1077%
+ 3 smaller / regional plans	$543 - $3,880

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,634), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Bob Wilson Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Bob Wilson Memorial Hospital

Compare: MRI, brain (with and without contrast) at other KS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.