CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: CHI Health Schuyler

Billing Code: 70553 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,764

about 5.0× the $356 Medicare rate · typically $426–$6,055

modeled estimate · not a bill or quote

Medicare pays $356 Fair price $1,764 Cash price $4,506 Hospital's list price $5,301

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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
UnitedHealthcaremajor	$2,704 - $5,089	759%
Blue Cross Blue Shieldmajor	$2,704 - $5,036	759%
Humanamajor	$2,704	759%
Ambetter (Centene)	$2,758 - $3,022	774%
Amerigroup	$1,135 - $2,839	318%
Medica	$2,704 - $5,089	759%
Molina	$1,158	325%
+ 8 smaller / regional plans	$2,704 - $6,002

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 4,506), 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 CHI Health Schuyler 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 CHI Health Schuyler

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

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