CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Baptist Health Deaconess Madisonville

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$266

about 0.7× the $356 Medicare rate · typically $239–$363

modeled estimate · not a bill or quote

What this hospital charges insurers

$282

About the fair price

about $16 over the fair price · 0.8× Medicare

Medicare pays $356 Fair price $266 This hospital $282 Cash price $683 Hospital's list price $5,255

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 7 of 8 other KY hospitals charge less.

Cheapest $100 Priciest $290

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

A fair price for a MRI, brain (with and without contrast) is about $266 (about 0.7× the $356 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $282, or about $683 in cash — about the fair price. Located in Madisonville, KY.

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	$98 - $1,802	27%
Blue Cross Blue Shieldmajor	$98 - $1,738	27%
Aetnamajor	$98 - $774	27%
Humanamajor	$98 - $1,839	27%
Ambetter (Centene)	$644	181%
HealthLink	$683 - $1,797	192%
Molina	$102 - $774	29%
WellCare	$102 - $774	29%
+ 8 smaller / regional plans	$98 - $4,514

Excludes 2 rental-network / third-party entries (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 683), 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 Baptist Health Deaconess Madisonville 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 Baptist Health Deaconess Madisonville

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

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