CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: M Health Fairview Southdale Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $537
  • Cash Discount Price: $695
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at M Health Fairview Southdale Hospital is $537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $695. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.51x the Medicare baseline. Located in 6401 France Avenue South, Edina, MN.
Cash / Self-Pay
$695

Average discount available for prompt cash payment at this facility.

Insurance Median
$537

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: $695 (195%)
Insurance Median: $537 (151%)
Cash: $695 (195% of Medicare)
Ins. Median: $537 (151% 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.

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
Security Health Plan $35 - $2,174 10%
America'S Ppo $36 - $2,087 10%
First Health $39 - $2,377 11%
Multiplan $41 - $2,464 12%
Private Healthcare Systems $41 - $2,464 12%
Wisconsin Physician Services $43 - $2,608 12%
Health Partners $74 - $1,359 21%
Itasca Medical Care $74 - $355 21%
Primewest $74 - $355 21%
South Country Health Alliance $74 - $355 21%
Ucare $76 - $865 21%
Medica $79 - $1,398 22%
Hennepin Health $84 - $363 24%
Blue Cross Blue Shield $85 - $1,117 24%
Sanford Health Plan $101 - $1,707 28%
UnitedHealthcare $101 - $1,340 28%
Wellcare $101 - $355 28%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6401 France Avenue South, Edina, MN 55435
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals