CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Sunrise Hospital and Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $296
  • Cash Discount Price: $1,058
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Sunrise Hospital and Medical Center is $296. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,058. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.83x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$1,058

Average discount available for prompt cash payment at this facility.

Insurance Median
$296

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: $1,058 (297%)
Insurance Median: $296 (83%)
Cash: $1,058 (297% of Medicare)
Ins. Median: $296 (83% 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.

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
United $74 - $2,752 21%
Humana $77 - $1,241 22%
Amerigroup $89 - $415 25%
Health Plan Nevada $89 - $436 25%
Molina $94 - $457 26%
Silver Summit $94 - $457 26%
Blue Cross Blue Shield $102 - $436 29%
Healthcare Partners Of Nv $102 - $424 29%
Aetna $104 - $1,292 29%
Alignment Health Plan $104 - $313 29%
Caremore $109 - $329 31%
Multiplan $112 - $9,611 31%
Community Care Health $119 - $414 33%
Molina Healthcare $119 - $431 33%
Sierra Hpn $119 - $414 33%
Hometown Health Providers $120 - $571 34%
Ambetter / Centene $125 - $2,765 35%
Culinary Health Fund $125 - $1,695 35%
Cigna $130 - $1,915 36%
Sierra $135 - $828 38%
Select Health $209 - $3,035 59%
Legacy Provider Network $2,476 695%
Corvel $2,613 - $2,762 733%
Comp-Med Workers Comp $2,668 749%
Olympus Medsave Usa $2,751 - $9,874 772%
Prominence Healthfirst $3,950 1108%
Cmn Global $5,530 1551%
Nv Health & Welfare Trust $7,900 2216%
First Health $8,690 - $10,533 2438%
Medcare International $9,874 2770%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals