CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cox Monett Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,133
Cash Discount Price: $1,403
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cox Monett Hospital is $1,133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,403. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.18x the Medicare baseline. Located in 1000 E Us Highway 60, Monett, MO.

Cash / Self-Pay

$1,403

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,133

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: $1,403 (394%)

Insurance Median: $1,133 (318%)

Cash: $1,403 (394% of Medicare)

Ins. Median: $1,133 (318% 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 318% of the Medicare baseline (a markup of 218%). 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
Heart Of America Beverage Company	$1,002	281%
Parkcrest Dental Group	$1,002	281%
Coastal Energy Corporation	$1,012	284%
Loren Cook	$1,052	295%
Springfieldgreene Co Library	$1,073	301%
Src Holdings Corporation	$1,082	304%
Ozark Anesthesia Assoc. Inc	$1,095	307%
Missouri Affiliated School Consortium (Masc)	$1,125	316%
Justice Furniture And Bedding Co	$1,129	317%
The Durham Company	$1,129	317%
Ozark County	$1,137	319%
Ozarks Cocacola	$1,148	322%
Flora Farms	$1,169	328%
Advanced Concrete Technology	$1,182	332%
Blue Cross Blue Shield	$2,008 - $4,166	563%
UnitedHealthcare	$2,250	631%
Bjc Health Solutions	$4,600	1291%

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 $1,403.
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 Cox Monett 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.