CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Union Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $356
  • Cash Discount Price: $1,544
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Union Hospital is $356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,544. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$1,544

Average discount available for prompt cash payment at this facility.

Insurance Median
$356

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: $1,544 (433%)
Insurance Median: $356 (100%)
Cash: $1,544 (433% of Medicare)
Ins. Median: $356 (100% 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
Summacare $67 - $1,109 19%
Aetna $103 - $2,375 29%
Blue Cross Blue Shield $103 - $1,265 29%
Cigna $103 - $1,069 29%
Humana $103 - $330 29%
The Health Plan $103 - $2,042 29%
United $103 - $1,173 29%
Valor $103 - $330 29%
Mmo $106 - $1,544 30%
Aultcare $108 - $1,069 30%
Communicare $108 - $346 30%
Perennial Health $111 - $356 31%
Pphp $111 - $363 31%
Zing Health $113 - $363 32%
Cc Ehp $115 - $1,772 32%
Oscar $263 - $913 74%
Devoted Health $330 93%
UnitedHealthcare $330 93%
Upmc $330 - $1,425 93%
Buckeye $338 95%
Caresource $338 95%
Molina $355 100%
Amerihealth $372 104%
Ohcp $383 - $1,154 107%
Omas $492 - $1,188 138%
Healthsmart $542 - $1,306 152%
Phphi $591 - $1,425 166%
Gms $690 - $1,662 194%
Consociate Health $739 - $1,781 207%
Multiplan $886 - $2,138 249%
Amish Community Aid Plan $1,069 - $1,188 300%
Ohio Healthy $1,282 360%
Php $1,425 400%
Medical Benefit Corp $1,662 466%
Frontpath $2,138 600%
Managed Care Services $2,138 600%
Tertiary Care Network $2,138 600%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals