CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Emerson Hospital -

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $932
Cash Discount Price: $2,678
vs. Medicare Baseline: 2.61x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Emerson Hospital - is $932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,678. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.61x the Medicare baseline. Located in 133 Old Road To 9 Acre Corner, W Concord, MA.

Cash / Self-Pay

$2,678

Average discount available for prompt cash payment at this facility.

Insurance Median

$932

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: $2,678 (751%)

Insurance Median: $932 (261%)

Cash: $2,678 (751% of Medicare)

Ins. Median: $932 (261% 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 261% of the Medicare baseline (a markup of 161%). 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
Masshealth	$398	112%
Mgb Mh Aco	$398	112%
Medicare (plans)	$410 - $420	115%
Tufts Senior Care Options	$410	115%
Blue Cross Blue Shield	$411 - $2,016	115%
UnitedHealthcare	$411 - $3,571	115%
Medicaid / KanCare	$418	117%
Wellpoint (Formerly Unicare)	$810	227%
Tufts Ppo	$1,304	366%
Aetna	$2,107	591%
Cigna	$3,267	917%

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 $2,678.
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 Emerson 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.