CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Inspira Medical Center Mullica Hill

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $423
Cash Discount Price: $2,090
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Inspira Medical Center Mullica Hill is $423. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,090. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.19x the Medicare baseline. Located in 501 West Front Street, Elmer, NJ.

Cash / Self-Pay

$2,090

Average discount available for prompt cash payment at this facility.

Insurance Median

$423

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: $2,090 (586%)

Insurance Median: $423 (119%)

Cash: $2,090 (586% of Medicare)

Ins. Median: $423 (119% 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
UnitedHealthcare	$380 - $1,359	107%
Aetna	$393 - $613	110%
Braven Health	$393	110%
Clover Health	$393	110%
Horizon Nj Total Care	$393	110%
Medicare (plans)	$393	110%
Wellcare Dual Liberty	$393	110%
Wellpoint Full Dual Advantage	$393	110%
Healthspring	$404	113%
Humana	$412	116%
Jefferson Health Plan	$420	118%
Fidelis Care of Nj	$423	119%
Wellpoint	$431	121%
Ambetter / Centene	$805	226%
Cigna	$856	240%
Amerihealth	$1,194	335%
Blue Cross Blue Shield	$1,194 - $1,536	335%
Oxford Health Plans	$1,359	381%
Horizon Nj Health	$1,632	458%

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 $2,090.
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 Inspira Medical Center Mullica Hill 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.