CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Parkland Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,976
Cash Discount Price: $12,632
vs. Medicare Baseline: 5.54x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Parkland Medical Center is $1,976. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,632. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.54x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$12,632

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,976

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: $12,632 (3544%)

Insurance Median: $1,976 (554%)

Cash: $12,632 (3544% of Medicare)

Ins. Median: $1,976 (554% 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 554% of the Medicare baseline (a markup of 454%). 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 Caritas	$390	109%
Blue Cross Blue Shield	$549 - $1,976	154%
Well Sense Health Plan	$946	265%
Harvard Pilgrim	$1,239 - $5,686	348%
United	$2,653 - $7,667	744%
Maine Community Health	$3,950 - $6,694	1108%
Tufts Health Plan	$7,225 - $7,443	2027%
Aetna	$7,516 - $8,438	2109%
Corvel	$9,095	2552%
Evernorth	$10,105	2835%
Healthcare Value Mgmt	$10,611	2977%
First Health	$10,737	3012%
Oxford Health Plans	$12,000	3367%

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 $12,632.
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 Parkland Medical Center 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.