CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: North Sunflower Medical Center Cah

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $294
Cash Discount Price: $239
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at North Sunflower Medical Center Cah is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.82x the Medicare baseline. Located in 840 North Oak Avenue, Ruleville, MS.

Cash / Self-Pay

$239

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $239 (67%)

Insurance Median: $294 (82%)

Cash: $239 (67% of Medicare)

Ins. Median: $294 (82% 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.

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	$45 - $1,378	13%
Ambetter / Centene	$101 - $1,531	28%
Aetna	$115 - $1,945	32%
Humana	$115 - $1,516	32%
Medicare (plans)	$115 - $1,516	32%
Medicaid / KanCare	$154 - $288	43%
Mpcn-All Plans	$335 - $1,859	94%
Blue Cross Blue Shield	$515 - $2,860	144%

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 $239.
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 North Sunflower Medical Center Cah 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.