CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Ochsner St Anne General Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $828
Cash Discount Price: $1,072
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Ochsner St Anne General Hospital is $828. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,072. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.32x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$1,072

Average discount available for prompt cash payment at this facility.

Insurance Median

$828

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: $1,072 (301%)

Insurance Median: $828 (232%)

Cash: $1,072 (301% of Medicare)

Ins. Median: $828 (232% 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 232% of the Medicare baseline (a markup of 132%). 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
Medicaid / KanCare	$285	80%
Tricare	$678 - $754	190%
Humana	$726 - $755	204%
UnitedHealthcare	$726 - $828	204%
Healthy Blue (Healthy Louisiana)	$741	208%
Louisiana Healthcare Connections (Healthy Louisiana)	$741	208%
Aetna	$748 - $1,366	210%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$748	210%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$755	212%
Blue Cross Blue Shield	$755 - $1,884	212%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$755	212%
Medicare (plans)	$755	212%
Ochsner Health Plan	$755	212%
Healthcomp & Personify Health (Formerly Gilsbar)	$1,828	513%
Louisiana Workers' Compensation Corporation (Lwcc)	$1,828	513%
Mississippi Physicians Care Network	$1,828	513%
Employers Health Network (Ehn)	$2,071	581%
First Health Network	$2,071	581%
Prime Health Services Ppo	$2,071	581%
Claritev D/B/A Multiplan/Phcs/American Life Care	$2,193	615%
Usa Managed Care Network	$2,193	615%
Zelis	$2,193	615%
Cigna	$2,332	654%

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 $1,072.
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 Ochsner St Anne General 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.