CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Neshoba County General Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $362
  • Cash Discount Price: $1,484
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Neshoba County General Hospital is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,484. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.02x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$1,484

Average discount available for prompt cash payment at this facility.

Insurance Median
$362

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: $1,484 (416%)
Insurance Median: $362 (102%)
Cash: $1,484 (416% of Medicare)
Ins. Median: $362 (102% 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
Tricare $290 81%
Magnolia Mcaid $306 86%
Molina Mcaid $306 86%
Mpcn Mcaid $306 86%
UnitedHealthcare $306 - $1,061 86%
Humana $322 90%
Magnolia Mcr Adv-All Other Plans $322 90%
Molina Comm-All Other Plans $322 90%
Molina Mcr Adv $322 90%
Wellcare Mcr Adv-All Plans $322 90%
First Choice Comm Ip/Op Only - All Plans $403 113%
Ahs Ip/Op Only-All Plans $565 159%
Blue Cross Blue Shield $585 164%
Cigna $800 224%
Aetna $1,060 297%
Affordable Health Care-All Plans $1,802 506%
Health Choice Ip/Op Only-All Plans $1,802 506%
Health Link Ip/Op Only-All Plans $1,802 506%
Geha-All Plans $1,908 535%
Multiplan-All Plans $1,908 535%
Mpcn Ip/Op Only-All Other Plans $2,650 743%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL