CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Incline Village Community Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $649
Cash Discount Price: $3,474
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Incline Village Community Hospital is $649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,474. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.82x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$3,474

Average discount available for prompt cash payment at this facility.

Insurance Median

$649

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: $3,474 (975%)

Insurance Median: $649 (182%)

Cash: $3,474 (975% of Medicare)

Ins. Median: $649 (182% 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	$98 - $5,645	27%
Blue Cross Blue Shield	$100 - $5,645	28%
Medicare (plans)	$105 - $2,446	29%
Healthnet - All Plans	$141 - $5,958	40%
Ca Hlth And Wellness - All Plans	$444 - $6,397	125%
Aetna	$595 - $5,519	167%
Prominence Healthfirst - All Plans	$595 - $5,519	167%
Admar Multiplan - All Plans	$608 - $5,645	171%
First Health - All Plans	$608 - $5,645	171%
Great West/One Health - All Plans	$608 - $5,645	171%
Hometown Hp - All Plans	$608 - $5,645	171%
Humana	$608 - $5,645	171%
Interplan - All Plans	$608 - $5,645	171%
Multiplan - All Plans	$608 - $5,645	171%
Phcs - All Plans	$608 - $5,645	171%
Cigna	$622 - $5,770	175%
Beech Street/Capp Care - All Plans	$642 - $5,958	180%
Uhn - All Plans	$642 - $5,958	180%
Sierra Health - All Plans	$656 - $6,084	184%

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 $3,474.
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 Incline Village Community Hospital 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.