CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Ashtabula County Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $377
Cash Discount Price: $4,771
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Ashtabula County Medical Center is $377. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,771. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.06x the Medicare baseline. Located in 2420 Lake Avenue, Ashtabula, OH.

Cash / Self-Pay

$4,771

Average discount available for prompt cash payment at this facility.

Insurance Median

$377

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: $4,771 (1339%)

Insurance Median: $377 (106%)

Cash: $4,771 (1339% of Medicare)

Ins. Median: $377 (106% 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	$129 - $1,211	36%
Aetna	$156 - $4,975	44%
Blue Cross Blue Shield	$293 - $1,086	82%
Caresource	$293 - $373	82%
Medical Mutual	$293 - $3,885	82%
Summacare	$308 - $1,161	86%
Valor	$308 - $392	86%
Oscar Cleveland	$396	111%
Molina Marketplace	$474	133%
Cigna	$1,252 - $2,930	351%

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 $4,771.
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 Ashtabula County Medical Center 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.