CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: University of Missouri Health Care

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,387
Cash Discount Price: $2,646
vs. Medicare Baseline: 3.89x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at University of Missouri Health Care is $1,387. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,646. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.89x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.

Cash / Self-Pay

$2,646

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,387

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: $2,646 (742%)

Insurance Median: $1,387 (389%)

Cash: $2,646 (742% of Medicare)

Ins. Median: $1,387 (389% 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 389% of the Medicare baseline (a markup of 289%). 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
UnitedHealthcare	$340 - $1,700	95%
Aetna	$346 - $3,396	97%
American Health Management	$346	97%
Blue Cross Blue Shield	$346 - $2,906	97%
Humana	$346	97%
Wellcare	$346	97%
Provider Partners Health Plan	$353	99%
Healthy Blue	$457	128%
United Community	$457	128%
Home State	$487	137%
Healthlink	$892 - $2,866	250%
Coventry Health Plan	$1,421	399%
Immergun	$1,544	433%
Medica With Mu Health	$1,548	434%
Coventry Health Plan National	$3,308	928%
Mercy	$3,308	928%
Cox Health Network	$3,528	990%
Cigna	$3,748	1052%
Multiplan	$3,881	1089%

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 $2,646.
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 University of Missouri Health Care 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.