CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Northern Louisiana Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $7,318
  • Cash Discount Price: $4,025
  • vs. Medicare Baseline: 20.53x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Northern Louisiana Medical Center is $7,318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,025. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 20.53x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$4,025

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,318

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: $4,025 (1129%)
Insurance Median: $7,318 (2053%)
Cash: $4,025 (1129% of Medicare)
Ins. Median: $7,318 (2053% 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 2053% of the Medicare baseline (a markup of 1953%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $547 - $4,398 153%
First Health $754 - $6,220 212%
Blue Cross Blue Shield $769 - $1,046 216%
Aetna $1,046 - $4,391 293%
Medicaid / KanCare $1,046 - $7,318 293%
Humana $1,151 323%
Golden Rule Ins $2,737 - $4,398 768%
Verity Healthnet $3,586 1006%
Cigna $3,659 1027%
Kaiser Permanente $3,659 1027%
Gilsbar $4,025 1129%
Self Pay $4,025 1129%
Geha $5,854 - $6,952 1642%
Multiplan $6,220 1745%
Phcs $6,220 1745%
Work Comp City Of Ruston $6,586 1848%
Work Comp First Health $6,586 1848%
Work Comp Nlmc Emp $6,586 1848%
Workers Compensation $6,586 1848%
Aarp $7,318 2053%
Aflc American Family Life $7,318 2053%
American Life Accident $7,318 2053%
Apwu Health Plan $7,318 2053%
Bankers Life And Casualty $7,318 2053%
Benefit Trust Life $7,318 2053%
Crime Victims Compensatio $7,318 2053%
Equitable $7,318 2053%
Fox Everett Inc $7,318 2053%
Gmp Employers Retiree Tru $7,318 2053%
Gsu Athletics $7,318 2053%
Guarantee Trust Life Ins $7,318 2053%
Healthfirst Tpa $7,318 2053%
Hospice Of Caring Hearts $7,318 2053%
Ima Insurance $7,318 2053%
Industrial Accounts $7,318 2053%
Liberty Healthshare $7,318 2053%
Liberty Mutual Group $7,318 2053%
Lifecare Specialty Hosp $7,318 2053%
Lin Parish Detention $7,318 2053%
Lincoln Kidney Center $7,318 2053%
Ltu Athletics $7,318 2053%
Ltu Student Ins Bollinger $7,318 2053%
Mcr American Hlth Adv $7,318 2053%
Misc Commercial $7,318 2053%
Mva Insurance Payors $7,318 2053%
Nalc Health Benefit Plan $7,318 2053%
Nalc Natl Assoc Ltr Carri $7,318 2053%
Newera $7,318 2053%
Nlmc Community Services $7,318 2053%
Physicians Mutual Ins $7,318 2053%
Premier Hospice $7,318 2053%
Principal Mutual Life Ins $7,318 2053%
Protective Life Ins $7,318 2053%
Ruston Regional Specialty $7,318 2053%
Specialty Hosp Of Winnfie $7,318 2053%
State Farm Insurance $7,318 2053%
State Mutual Ins $7,318 2053%
Sterling Investors Life $7,318 2053%
The Hartford $7,318 2053%
Union Bankers Insurance C $7,318 2053%
Union Fidelity Life Ins $7,318 2053%
United American $7,318 2053%
United Teachers Ins $7,318 2053%
Us Dept Of Labor $7,318 2053%
Washington National Ins $7,318 2053%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals