CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Lakewood Health System

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $704
  • Cash Discount Price: $960
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Lakewood Health System is $704. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $960. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.98x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.
Cash / Self-Pay
$960

Average discount available for prompt cash payment at this facility.

Insurance Median
$704

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: $960 (269%)
Insurance Median: $704 (198%)
Cash: $960 (269% of Medicare)
Ins. Median: $704 (198% 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
Ucare Msho/Special Needs $70 - $1,161 20%
Blue Cross Blue Shield $103 - $1,834 29%
Humana $103 - $1,138 29%
Ucare Mcr Adv $103 - $1,161 29%
UnitedHealthcare $103 - $2,508 29%
Medica Msho/Mcr Adv $108 - $1,127 30%
Health Partners - All Plans $163 - $2,649 46%
Ucare Individual/Family - All Other Plans $165 - $1,296 46%
Medica Choice Care $184 - $490 52%
Medica Choice/Focus/Ifb/Mhps - All Other Plans $184 - $2,522 52%
Preferred One Hmo $207 - $2,677 58%
Preferred One Ppo - All Other Plans $219 - $2,677 61%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 49725 County Road 83, Staples, MN 56479
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals