CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Great Falls Clinic Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$793

about 2.2× the $356 Medicare rate · typically $491–$793

modeled estimate · not a bill or quote

What this hospital charges insurers

$674

Below the fair price — a good deal

about $119 under the fair price · 1.9× Medicare

Medicare pays $356 Fair price $793 This hospital $674 Cash price $1,932 Hospital's list price $1,932

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Highest price of the 9 MT hospitals we have prices for — worth calling around.

Cheapest $89 Priciest $674

Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $793 (about 2.2× the $356 Medicare rate). Great Falls Clinic Hospital charges insurers about $674, or about $1,932 in cash — below the fair price — a good deal. Located in Great Falls, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$355 - $798	100%
Humanamajor	$355	100%
+ 2 smaller / regional plans	$674 - $780

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,932), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Great Falls Clinic Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Great Falls Clinic Hospital

Compare: MRI, brain (with and without contrast) at other MT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.