CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Lee's Summit Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,420
Cash Discount Price: $18,488
vs. Medicare Baseline: 3.98x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Lee's Summit Medical Center is $1,420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,488. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.98x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$18,488

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,420

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: $18,488 (5187%)

Insurance Median: $1,420 (398%)

Cash: $18,488 (5187% of Medicare)

Ins. Median: $1,420 (398% 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 398% of the Medicare baseline (a markup of 298%). 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
United	$207 - $8,320	58%
Healthyblue	$211	59%
Medicaid / KanCare	$213	60%
Aetna	$215 - $9,429	60%
Amerigroup	$215	60%
Unicare	$215	60%
Home State Health Plan	$217	61%
Multiplan	$345 - $13,681	97%
Corvel Corporation	$410 - $12,017	115%
Cigna	$427 - $14,791	120%
Oha Network	$427 - $9,244	120%
Blue Cross Blue Shield	$941 - $7,950	264%
Humana	$1,100 - $1,420	309%
Ambetter / Centene	$3,439	965%
Nhc Advantage	$3,513	986%
Wppa Providrs Care Network	$3,698	1038%
Universal Healthcare	$6,471	1816%
Coventry	$7,432	2085%
Coventry Kc Mo	$7,580	2127%
College Park Family Care Center	$7,950	2230%
Focus Healthcare Mgmt, Inc	$13,866	3890%
Cco, Inc.	$15,715	4409%

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 $18,488.
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 Lee's Summit Medical 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.