CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,202
Cash Discount Price: $1,635
vs. Medicare Baseline: 6.18x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Uofl Health - Shelbyville Hospital is $2,202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,635. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.18x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$1,635

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,202

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: $1,635 (459%)

Insurance Median: $2,202 (618%)

Cash: $1,635 (459% of Medicare)

Ins. Median: $2,202 (618% 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 618% of the Medicare baseline (a markup of 518%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$320 - $862	90%
Blue Cross Blue Shield	$335 - $2,202	94%
Cigna	$335	94%
Essence Health	$335	94%
Va Ccn	$335	94%
Senior Care Communty Of Ky	$337	95%
Signature	$345 - $2,559	97%
Communicare	$352	99%
Passport	$352 - $2,559	99%
Devoted	$354	99%
Velocity	$421 - $5,016	118%
Key Benefit Administrators	$435	122%
Wellcare	$471 - $819	132%
UnitedHealthcare	$558 - $2,441	157%
Aetna	$587 - $862	165%
Prime Group Health	$1,240 - $4,350	348%
Encore	$2,092 - $3,071	587%
Multiplan	$2,301 - $4,606	646%
Omca	$3,313 - $4,862	929%
Corvel	$3,487 - $5,118	978%
Cshn	$3,487 - $5,118	978%
Health Smart	$3,487 - $5,118	978%
National Comp Care	$3,487 - $5,118	978%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,635.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uofl Health - Shelbyville Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.