CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Merit Health Wesley

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $465
  • Cash Discount Price: $4,877
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Merit Health Wesley is $465. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,877. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.30x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$4,877

Average discount available for prompt cash payment at this facility.

Insurance Median
$465

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: $4,877 (1368%)
Insurance Median: $465 (130%)
Cash: $4,877 (1368% of Medicare)
Ins. Median: $465 (130% 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
Magnolia $272 - $305 76%
Medicaid / KanCare $272 - $2,916 76%
UnitedHealthcare $272 - $2,142 76%
Magnolia Mcd Ms Chip $275 77%
Caresource Truecare $278 78%
Molina Chip $294 82%
Tricare $299 84%
Veterans Eval Services $304 85%
First Choice $305 - $15,299 86%
Humana $305 86%
Medicare (plans) $305 86%
Node Vantage Mcr Adv $305 86%
Node Hospice Non Par Agree $310 87%
Node Va $310 87%
Molina $311 87%
Node Devoted Health Mcr Adv $311 87%
Node First Choice American Health Mcr Adv $311 87%
Aetna $314 - $7,975 88%
Node Champva $315 88%
Node First Choice Wellcare Mcr Adv $316 89%
Node Healthy Mississippi Mcr Adv $341 96%
Node Us Dept Of Labor $387 109%
Ms Work Comp $457 128%
First Choice Molina $527 148%
Magnolia Exchange $542 152%
Molina Exchange $571 160%
First Choice Lgp $675 189%
Vantage Health $697 196%
Advanced Health Systems $917 257%
Blue Cross Blue Shield $1,180 331%
Cigna $3,118 875%
Chs Group Health Plan $3,825 1073%
Self Pay $4,016 - $5,737 1127%
Trimed Billing Solutions $5,737 1610%
Ms Dept Of Rehabilitation Services $8,796 2468%
Benefit Management Services $12,431 3488%
Coventry First Health $14,343 4024%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals