CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Mercy Hospital - Cassville

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,849
Cash Discount Price: $2,315
vs. Medicare Baseline: 7.99x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Mercy Hospital - Cassville is $2,849. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,315. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.99x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$2,315

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,849

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: $2,315 (649%)

Insurance Median: $2,849 (799%)

Cash: $2,315 (649% of Medicare)

Ins. Median: $2,849 (799% 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 799% of the Medicare baseline (a markup of 699%). 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
Aetna	$183 - $3,169	51%
Humana	$183 - $3,027	51%
Medicaid / KanCare	$183 - $1,852	51%
Medicare (plans)	$333 - $1,526	93%
Blue Cross Blue Shield	$335 - $3,454	94%
UnitedHealthcare	$469 - $3,383	132%
Dept Of Veteran Affairs Contracted [320106]	$1,214	341%
Tricare	$1,443	405%
Cherokee Nation Health Serv Contracted [320066]	$1,467	412%
Cigna	$1,467 - $3,383	412%
Cross Timbers Hospice [20098]	$1,467	412%
Elara Caring Aspire Hospice [20433]	$1,467	412%
Globalhealth Contracted [320145]	$1,467	412%
Halo Hcr Inc Hospice Contracted [320432]	$1,467	412%
Halo Hcr Inc Hospice [20432]	$1,467	412%
Indian Health Service Contracted [320198]	$1,467	412%
Kindful Hospice Contracted [320434]	$1,467	412%
Kindful Hospice [20434]	$1,467	412%
Medical Associates Health Contracted [320444]	$1,467	412%
Mercy Hospice Okc [20252]	$1,467	412%
Mercy Mgd Behavioral Health Contracted [320259]	$1,467	412%
Pace Of The Ozarks Contracted [320518]	$1,467	412%
Provider Partners Health Plans Contracted [320450]	$1,467	412%
Qual Choice Contracted [320325]	$1,467	412%
Healthscope Contracted [320182]	$1,488	417%
Administrative Payor Contracted [320005]	$1,602	449%
Centivo Contracted [320505]	$1,816	509%
Ambetter / Centene	$1,852	520%
Home State Health Plan Contracted [320187]	$1,852	520%
Novasys Contracted [320285]	$1,852	520%
Healthlink Contracted [320179]	$2,315 - $3,205	649%
Preferred Health Plan Contracted [320522]	$2,315	649%
Health Systems Inc Contracted [320174]	$2,849	799%
Insurance System Inc Contracted [320465]	$2,849	799%
Point C Contracted [320238]	$2,849 - $3,205	799%
Point C [20238]	$2,849	799%
United Medical Resources Contracted [320454]	$2,849 - $3,027	799%
Workers Comp [20426]	$2,849 - $3,205	799%
Municipal Health Plan Contracted [320271]	$2,884	809%
Medica Contracted [320239]	$3,191	895%
90 Degree Benefits Contracted [320436]	$3,205	899%
Aither Health Contracted [320449]	$3,205	899%
American Healthcare Alliance Contracted [320020]	$3,205	899%
Auxiant Contracted [320462]	$3,205	899%
Benefit Management Contracted [320052]	$3,205	899%
Ebms Contracted [320493]	$3,205	899%
Edison Health Solutions Contracted [320502]	$3,205	899%
Evolutions Health Care Contracted [320124]	$3,205	899%
Imagine 360 Contracted [320494]	$3,205	899%
Mercy Benefit Admin Contracted [320251]	$3,205	899%
Reflect Health Contracted [320492]	$3,205	899%
Show-Me Health Administrators Contracted [320483]	$3,205	899%
Usa Managed Care Org Contracted [320429]	$3,205	899%
Yuzu Health Contracted [320521]	$3,205	899%
First Health Contracted [320128]	$3,383	949%
Multiplan Contracted [320270]	$3,383	949%
Private Health Care Systems Contracted [320320]	$3,383	949%

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 $2,315.
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 Mercy Hospital - Cassville 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.