CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Bayou Bend Health System

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,676
Cash Discount Price: $1,805
vs. Medicare Baseline: 4.70x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Bayou Bend Health System is $1,676. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,805. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.70x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$1,805

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,676

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: $1,805 (506%)

Insurance Median: $1,676 (470%)

Cash: $1,805 (506% of Medicare)

Ins. Median: $1,676 (470% 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 470% of the Medicare baseline (a markup of 370%). 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
Blue Cross Blue Shield	$503 - $1,814	141%
UnitedHealthcare	$611 - $1,289	171%
Tricare	$1,160	325%
Aetna	$1,289 - $1,753	362%
Dignity Mcr Adv Ip/Op Only-All Plans	$1,289	362%
Humana	$1,289 - $1,676	362%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$1,289	362%
Verity Healthnet Mcr Adv Ip/Op Only	$1,289	362%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$1,289	362%
Ambetter / Centene	$1,482	416%
Cigna	$1,650	463%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$1,814	509%
La Health Mcaid Ip/Op Only	$1,814	509%
Verity Healthnet Mcaid Ip/Op Only	$1,814	509%
Diocese Of Lafaytte Ip/Op Only-All Plans	$1,934	543%
Gilsbar 360 Ip/Op Only-All Plans	$1,934	543%
Verity Healthnet Ip/Op Only-All Other Plans	$1,934	543%
Ccn/First Health Ip/Op Only-All Plans	$2,062	579%
Integrated Hp Multiplan Ip/Op Only-All Plans	$2,062	579%
Ppo Plus / Zelis Ip/Op Only-All Plans	$2,062	579%
Geha Ppo Ip/Op Only-All Plans	$2,191	615%
Usa Mco Ip/Op Only-All Plans	$2,191	615%
Galaxy Ip/Op Only-All Plans	$2,320	651%

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 $1,805.
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 Bayou Bend Health System 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.