CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,053
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.95x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Intermountain Health St Vincent Regional Hospital is $1,053. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.95x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,053

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%)

Insurance Median: $1,053 (295%)

Ins. Median: $1,053 (295% 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 295% of the Medicare baseline (a markup of 195%). 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
Medicare (plans)	$357	100%
UnitedHealthcare	$364 - $1,513	102%
Exchange Other	$592 - $1,080	166%
Mt Health Co-Op	$592 - $1,080	166%
Ebms-Employee Benefit Mng	$600 - $1,413	168%
First Choice Health	$635 - $1,469	178%
Other	$635 - $1,469	178%
Sibanye Stillwater Health Partners	$679	191%
Coastal Administrative Services	$714	200%
Meritain Health	$731 - $1,230	205%
Allegiance	$749 - $1,479	210%
Cigna	$749 - $1,479	210%
Aetna	$755 - $1,047	212%
Pacificsource	$849 - $1,491	238%
Blue Cross Blue Shield	$891 - $2,466	250%
Pacific Steel And Recycling	$893	251%
Preferred One	$1,019 - $1,529	286%
Interwest	$1,067 - $1,479	299%
Private Hlthcare Sys	$1,079 - $1,496	303%
Geha	$1,091 - $1,513	306%

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 $X.
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 Intermountain Health St Vincent Regional 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.