CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Deaconess Henderson Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $389
  • Cash Discount Price: $981
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Deaconess Henderson Hospital is $389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $981. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.09x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$981

Average discount available for prompt cash payment at this facility.

Insurance Median
$389

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: $981 (275%)
Insurance Median: $389 (109%)
Cash: $981 (275% of Medicare)
Ins. Median: $389 (109% 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.

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
Caresource In Marketplace $151 - $689 42%
Ky Racing Health & Welfare Fund $151 - $948 42%
Self-Pay $151 - $981 42%
Aetna $184 - $3,172 52%
Blue Cross Blue Shield $184 - $346 52%
Humana $184 - $2,616 52%
Medicare (plans) $184 - $338 52%
Mhs Mco $184 - $338 52%
Molina Healthcare Of Ky $184 - $338 52%
Molina Healthcare Of Ky - Exchange $184 - $338 52%
Mytru Advantage $184 - $338 52%
Umwa $184 - $338 52%
UnitedHealthcare $184 - $984 52%
Wellcare Il $184 - $338 52%
Wellcare Ky $184 - $672 52%
Center Care Narrow $193 - $1,181 54%
Center Care Open Access $193 - $1,181 54%
Caresource In $199 56%
Medicaid / KanCare $199 - $672 56%
Wellcare Ky Commercial Exchange $239 - $692 67%
Alliance Coal $253 - $1,181 71%
Cigna $259 - $2,093 73%
Claimdoc $259 - $1,962 73%
Hopetrust $259 - $1,181 73%
Hstechnology $259 - $1,181 73%
Amish And Mennonite Of Western Ky $281 - $1,280 79%
Noncontracted $294 - $540 82%
First Health Network (Coventry) $302 - $2,780 85%
Healthlink $302 - $2,452 85%
Iu Health Plans $302 - $1,378 85%
Phcs/Multiplan $302 - $2,943 85%
Encircle/Encore Combined $314 - $1,892 88%
Encircle/Encore Prime $314 - $1,764 88%
Coventry National Network $346 - $2,616 97%
Webster County Detention Center $346 - $2,616 97%
Henderson County Detention Center $389 - $2,943 109%
Sagamore $697 - $2,878 196%
One Care $743 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals