CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Guthrie Cortland Regional Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $505
  • Cash Discount Price: $4,933
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Guthrie Cortland Regional Medical Center is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,933. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.42x the Medicare baseline. Located in 134 Homer Avenue, Cortland, NY.
Cash / Self-Pay
$4,933

Average discount available for prompt cash payment at this facility.

Insurance Median
$505

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: $4,933 (1384%)
Insurance Median: $505 (142%)
Cash: $4,933 (1384% of Medicare)
Ins. Median: $505 (142% 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
Health Partners $392 - $441 110%
Aetna $423 - $478 119%
Amerihealth $423 - $466 119%
Blue Cross Blue Shield $423 - $5,875 119%
Geisinger $423 - $444 119%
Humana $423 - $468 119%
Icircle $423 - $475 119%
Mvp $423 - $5,875 119%
Tricare $423 - $493 119%
Upmc $423 - $500 119%
Wellcare $423 - $6,148 119%
Cdphp $454 - $530 127%
Freedom Blue $454 127%
UnitedHealthcare $454 - $3,710 127%
Emblem $475 - $4,947 133%
Fidelis $505 - $884 142%
Pa Health And Wellness $530 149%
Fidelis Essential $1,136 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 134 Homer Avenue, Cortland, NY 13045
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals