CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Great Plains Health

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $422
Cash Discount Price: $1,444
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Great Plains Health is $422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,444. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.18x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$1,444

Average discount available for prompt cash payment at this facility.

Insurance Median

$422

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: $1,444 (405%)

Insurance Median: $422 (118%)

Cash: $1,444 (405% of Medicare)

Ins. Median: $422 (118% 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.

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
Nebraska Total Care	$108 - $403	30%
Molina	$118 - $440	33%
Midwest Network Alliance	$207 - $3,843	58%
Blue Cross Blue Shield	$216 - $3,902	61%
Ambetter / Centene	$231 - $1,832	65%
Medica	$270 - $4,056	76%
Midlands Choice	$367 - $4,100	103%
Oscar Health	$375 - $4,100	105%
Coventry	$379 - $4,189	106%
Geha	$379 - $4,144	106%
Mutual Of Omaha	$383 - $4,189	107%
UnitedHealthcare	$854 - $4,189	240%

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 $1,444.
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 Great Plains Health 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.