CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Mary Lanning Healthcare

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,385
Cash Discount Price: $4,758
vs. Medicare Baseline: 12.30x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Mary Lanning Healthcare is $4,385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,758. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.30x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$4,758

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,385

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: $4,758 (1335%)

Insurance Median: $4,385 (1230%)

Cash: $4,758 (1335% of Medicare)

Ins. Median: $4,385 (1230% 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 1230% of the Medicare baseline (a markup of 1130%). 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
Tricare	$341	96%
Aetna	$362 - $5,004	102%
Blue Cross Blue Shield	$362 - $5,686	102%
Medica Mcr Adv	$362	102%
Ne Total Care Mcr Adv	$362	102%
UnitedHealthcare	$362 - $5,402	102%
Va Ccn - All Plans	$362	102%
Ambetter / Centene	$1,630	457%
Nhn/Mna-All Plans	$3,507 - $4,606	984%
Consociate Inc-All Plans	$3,637 - $4,776	1020%
Medica-All Other Plans	$3,766 - $4,947	1057%
Midlands Choice-All Plans	$3,896 - $5,117	1093%
Provider Network Of America-All Plans	$3,896 - $5,117	1093%
Multiplan-All Plans	$4,113 - $5,402	1154%
Workers Compensation-All Plans	$4,243 - $5,572	1190%

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 $4,758.
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 Mary Lanning Healthcare 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.