CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: High Point Regional Health System

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,287
Cash Discount Price: $2,720
vs. Medicare Baseline: 6.42x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at High Point Regional Health System is $2,287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,720. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.42x the Medicare baseline. Located in 601 N Elm St, High Point, NC.

Cash / Self-Pay

$2,720

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,287

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: $2,720 (763%)

Insurance Median: $2,287 (642%)

Cash: $2,720 (763% of Medicare)

Ins. Median: $2,287 (642% 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 642% of the Medicare baseline (a markup of 542%). 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
Amerihealth	$789 - $1,766	221%
Carolina Complete	$789	221%
Healthy Blue	$789	221%
Partners	$789	221%
UnitedHealthcare	$797 - $4,563	224%
Vaya	$797	224%
Wellcare	$797	224%
Alliance	$804	226%
Trillium	$813	228%
Medcost	$1,458 - $3,486	409%
Aetna	$1,621 - $3,535	455%
Oscar	$1,632 - $2,176	458%
Ambetter / Centene	$1,740	488%
Blue Cross Blue Shield	$2,245 - $3,601	630%
Cigna	$2,986	838%
Directnet	$3,214	902%
Private Healthcare Systems	$4,460	1251%
Multiplan	$4,895	1373%
Humana	$5,058 - $5,167	1419%

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 $2,720.
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 High Point Regional Health System 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.