CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,047
Cash Discount Price: $1,970
vs. Medicare Baseline: 5.74x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital is $2,047. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,970. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.74x the Medicare baseline. Located in 200 Abraham Flexner Way, Louisville, KY.

Cash / Self-Pay

$1,970

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,047

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: $1,970 (553%)

Insurance Median: $2,047 (574%)

Cash: $1,970 (553% of Medicare)

Ins. Median: $2,047 (574% 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 574% of the Medicare baseline (a markup of 474%). 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 - $970	90%
Blue Cross Blue Shield	$335 - $2,202	94%
Cigna	$335	94%
Essence Health	$335	94%
Passport	$335 - $2,559	94%
Signature	$335 - $345	94%
Va Ccn	$335	94%
Senior Care Community Of Ky	$337	95%
Communicare	$352	99%
Communicare Med Adv Fy	$352	99%
Devoted	$352 - $1,535	99%
Velocity	$421 - $5,016	118%
Key Benefit Administrators	$435	122%
Wellcare	$471 - $921	132%
UnitedHealthcare	$655 - $2,441	184%
Aetna	$689 - $970	193%
Prime Group Health	$1,293 - $4,350	363%
Encore	$2,183 - $3,071	612%
Multiplan	$2,401 - $4,606	674%
Omca	$3,456 - $4,862	970%
Corvel	$3,638 - $5,118	1021%
Cshn	$3,638 - $5,118	1021%
Health Smart	$3,638 - $5,118	1021%
National Comp Care	$3,638 - $5,118	1021%

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 $1,970.
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 - Jewish Hospital and Mary & Elizabeth 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.