CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: M Health Fairview Ridges Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $826
Cash Discount Price: $1,223
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at M Health Fairview Ridges Hospital is $826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,223. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.32x the Medicare baseline. Located in 201 East Nicollet Boulevard, Burnsville, MN.

Cash / Self-Pay

$1,223

Average discount available for prompt cash payment at this facility.

Insurance Median

$826

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: $1,223 (343%)

Insurance Median: $826 (232%)

Cash: $1,223 (343% of Medicare)

Ins. Median: $826 (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
Health Partners	$74 - $1,359	21%
Itasca Medical Care	$74 - $347	21%
Primewest	$74 - $347	21%
South Country Health Alliance	$74 - $347	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%
Security Health Plan	$101 - $2,174	28%
UnitedHealthcare	$101 - $1,340	28%
Wellcare	$101 - $347	28%
America'S Ppo	$832 - $2,087	233%
First Health	$1,309 - $2,377	367%
Multiplan	$1,357 - $2,464	381%
Private Healthcare Systems	$1,357 - $2,464	381%
Wisconsin Physician Services	$1,436 - $2,608	403%

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 $1,223.
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 M Health Fairview Ridges 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.