CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Oakdale Community Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,307
Cash Discount Price: $793
vs. Medicare Baseline: 6.47x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Oakdale Community Hospital is $2,307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $793. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.47x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.

Cash / Self-Pay

$793

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,307

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: $793 (222%)

Insurance Median: $2,307 (647%)

Cash: $793 (222% of Medicare)

Ins. Median: $2,307 (647% 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 647% of the Medicare baseline (a markup of 547%). 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
Aetna	$616 - $2,227	173%
Meritain	$616 - $2,227	173%
Blue Cross Blue Shield	$627	176%
Amfirst	$793	222%
Self Pay	$793	222%
Medicaid / KanCare	$878	246%
UnitedHealthcare	$878	246%
Humana	$965 - $2,497	271%
Web-Tpa	$1,982	556%
Cigna	$2,160 - $2,235	606%
Ima	$2,378 - $3,964	667%
Ppo Plus	$2,378	667%
Wc Gulf South Risk Srvcs	$3,567	1001%
Wc Martco	$3,567	1001%
Wc Misc	$3,567	1001%
Wc Risk Mgmnt-Baton Rouge	$3,567	1001%
Wc Sedwick Workmans Comp	$3,567	1001%
Wc Us Department Of Labor	$3,567	1001%
American Public Life	$3,964	1112%
American Retirement Life	$3,964	1112%
Apwu	$3,964	1112%
Auto Liability	$3,964	1112%
Bankers Life	$3,964	1112%
Correct Care	$3,964	1112%
Fox Everitt	$3,964	1112%
Mailhandlers Benefit Plan	$3,964	1112%
Medishare	$3,964	1112%
Medplus	$3,964	1112%
Misc Commerical	$3,964	1112%
Phcs	$3,964	1112%
Physicians Mutual	$3,964	1112%
State Farm-La	$3,964	1112%
Triwest	$3,964	1112%
Us Family Health Plan	$3,964	1112%
Usaa	$3,964	1112%

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 $793.
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 Oakdale Community 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.