CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Karmanos Cancer Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $348
Cash Discount Price: $3,447
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Karmanos Cancer Center is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,447. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.98x the Medicare baseline. Located in 4100 John R, Detroit, MI.

Cash / Self-Pay

$3,447

Average discount available for prompt cash payment at this facility.

Insurance Median

$348

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: $3,447 (967%)

Insurance Median: $348 (98%)

Cash: $3,447 (967% of Medicare)

Ins. Median: $348 (98% 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.

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	$195 - $219	55%
Detroit Medical Center	$255 - $2,683	72%
Tricare	$315	88%
Humana	$348	98%
Medicare (plans)	$348 - $355	98%
Mi Amish Medical Board	$348	98%
Interlink Bmt	$485 - $5,089	136%
Phcs-Multiplan	$519 - $5,452	146%
Blue Cross Blue Shield	$770	216%
Mclaren Commercial Ins	$2,175	610%
UnitedHealthcare	$2,496	700%
Priority Health	$4,214	1182%
Aetna	$5,431	1524%

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 $3,447.
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 Karmanos Cancer Center 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.