CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: University Medical Center
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $216
- Cash Discount Price: $1,319
- vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at University Medical Center is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,319. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.61x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$1,319
Average discount available for prompt cash payment at this facility.
Insurance Median
$216
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: $1,319 (370%)
Insurance Median: $216 (61%)
Cash: $1,319 (370% of Medicare)
Ins. Median: $216 (61% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantra Freedom | $96 - $395 | 27% |
| Aetna | $96 - $1,835 | 27% |
| Blue Cross Blue Shield | $102 - $415 | 29% |
| Boyd Group | $102 - $1,459 | 29% |
| Bricklayers Local 13 | $102 - $1,459 | 29% |
| Caesar'S Entertainment | $102 - $1,459 | 29% |
| California Ironwork Field Welfare | $102 - $318 | 29% |
| Electrical Workers | $102 - $1,459 | 29% |
| Laborers Health And Welfare | $102 - $1,459 | 29% |
| Operating Engineers | $102 - $1,459 | 29% |
| Plumbers & Pipefitters Loc 525 | $102 - $1,459 | 29% |
| Sheet Metal Workers | $102 - $318 | 29% |
| So Ca Pipe Trades H&W | $102 - $318 | 29% |
| Southwest Carpenters H&W | $102 - $318 | 29% |
| Teamsters Local 14 | $102 - $1,459 | 29% |
| Teamsters Local 631 | $102 - $1,459 | 29% |
| Teamsters Local 986 | $102 - $1,459 | 29% |
| Ufcw Local 711 Retail Clerks | $102 - $1,459 | 29% |
| Allwell | $104 - $395 | 29% |
| American Postal Workers Health Plan | $104 - $2,482 | 29% |
| Arroweye Solutions | $104 - $1,541 | 29% |
| City Of Henderson | $104 - $1,459 | 29% |
| City Of North Las Vegas | $104 - $1,459 | 29% |
| Clark County Epo | $104 - $1,459 | 29% |
| Clark County Self Funded | $104 - $1,459 | 29% |
| Dignity Health | $104 - $1,541 | 29% |
| Golden Entertainment | $104 - $1,541 | 29% |
| Golden Nugget Hotel & Casino | $104 - $1,541 | 29% |
| Healthcare Partners Of Nevada | $104 - $395 | 29% |
| Las Vegas Firefighters 1285 | $104 - $1,459 | 29% |
| Las Vegas Metro Police Dept | $104 - $1,459 | 29% |
| Las Vegas Sand Corps | $104 - $2,482 | 29% |
| Marshall Retail Group | $104 - $1,541 | 29% |
| Mgm Grand | $104 - $1,459 | 29% |
| Mirage Las Vegas | $104 - $1,459 | 29% |
| Molina | $104 - $584 | 29% |
| P3 Health Partners | $104 - $1,541 | 29% |
| P3 Health Partners Nevada | $104 - $395 | 29% |
| Pli Las Vegas | $104 - $1,541 | 29% |
| Rebel Oil Company | $104 - $1,541 | 29% |
| Resorts World Las Vegas | $104 - $1,459 | 29% |
| Selecthealth | $104 - $584 | 29% |
| Sierra Health And Life | $104 - $1,541 | 29% |
| State Of Nevada | $104 - $1,541 | 29% |
| Stations Casinos | $104 - $1,541 | 29% |
| Surest | $104 - $2,482 | 29% |
| Switch | $104 - $1,459 | 29% |
| Teacher'S Health Trust | $104 - $1,541 | 29% |
| Truline Corporation | $104 - $1,541 | 29% |
| UnitedHealthcare | $104 - $2,482 | 29% |
| Va Pc3 (Va Choice) | $104 - $395 | 29% |
| Venetian/Palazzo | $104 - $1,541 | 29% |
| Wynn Resorts | $104 - $1,459 | 29% |
| Alignment Health | $109 - $395 | 31% |
| Scan | $109 - $395 | 31% |
| Clark County Firefighters 1908 | $116 - $1,459 | 33% |
| Coventry | $116 - $1,835 | 33% |
| Employee Painters Trust | $116 - $1,459 | 33% |
| Geha | $116 - $156 | 33% |
| Mail Handlers Benefit Plan | $116 - $1,835 | 33% |
| Nevada Energy | $116 - $1,835 | 33% |
| First Health | $117 - $836 | 33% |
| Health Net | $117 - $836 | 33% |
| Three Rivers Provider Network | $117 - $836 | 33% |
| Aig | $122 - $2,247 | 34% |
| Beech Street | $122 - $2,247 | 34% |
| Cement Masons & Plasters H&W | $122 - $1,459 | 34% |
| Culinary Workers Hwf | $128 - $1,459 | 36% |
| Laughlin Coalition | $151 | 42% |
| Ambetter / Centene | $154 - $612 | 43% |
| Hometown Health Plan Nevada | $156 | 44% |
| Jw Marriott | $156 - $534 | 44% |
| Nevada Preferred Professionals | $156 - $789 | 44% |
| One Health Plan | $156 - $1,522 | 44% |
| Prominence Health Plan | $156 - $789 | 44% |
| Universal Health Network (Uhn) | $156 - $789 | 44% |
| Health Direct Partners | $172 - $635 | 48% |
| Cigna | $232 - $785 | 65% |
| Cirque De Soleil | $232 - $785 | 65% |
| Great West Healthcare | $232 - $785 | 65% |
| Kaiser | $232 - $785 | 65% |
| National Security Technologies | $232 - $785 | 65% |
| Zuffa | $232 | 65% |
| Nevada Hand | $1,459 | 409% |
| Hometown Health Plan Of Nevada | $1,522 | 427% |