CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Fisher-Titus Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,401
Cash Discount Price: $3,101
vs. Medicare Baseline: 6.74x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Fisher-Titus Hospital is $2,401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,101. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.74x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$3,101

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,401

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: $3,101 (870%)

Insurance Median: $2,401 (674%)

Cash: $3,101 (870% of Medicare)

Ins. Median: $2,401 (674% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 674% of the Medicare baseline (a markup of 574%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Perennial Advantage	$103 - $352	29%
UnitedHealthcare	$103 - $3,135	29%
Sidecar	$105 - $2,391	29%
Blue Cross Blue Shield	$238 - $3,135	67%
Caresource	$238 - $335	67%
Amerihealth	$245	69%
Buckeye	$245 - $335	69%
Molina	$245	69%
Aetna	$335 - $2,997	94%
Medical Mutual Of Ohio	$335 - $2,002	94%
Paramount	$335 - $3,100	94%
Summacare	$335 - $3,032	94%
Wellcare	$335	94%
Zing Health	$335	94%
Valor Health	$345	97%
Health Ohio Network	$2,412	677%
Tricare	$2,584 - $2,756	725%
Cigna	$2,756	773%
Claimsdoc	$2,756	773%
First Health	$3,100	870%
Multiplan	$3,100	870%
Ohio Health Choice	$3,100	870%
Healthscope	$3,135	880%
Emerald Health	$3,342	938%

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 $3,101.
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 Fisher-Titus 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.