CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $770
Cash Discount Price: $3,522
vs. Medicare Baseline: 2.16x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Memorial Hospital is $770. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,522. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.16x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.

Cash / Self-Pay

$3,522

Average discount available for prompt cash payment at this facility.

Insurance Median

$770

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: $3,522 (988%)

Insurance Median: $770 (216%)

Cash: $3,522 (988% of Medicare)

Ins. Median: $770 (216% 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 216% of the Medicare baseline (a markup of 116%). 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
Aetna	$191 - $3,403	54%
Buckeye Community Health Plan	$191 - $2,421	54%
Medical Mutual Of Ohio	$191 - $3,620	54%
Meridian Health Plan Of Mi	$191 - $1,574	54%
UnitedHealthcare	$206 - $2,421	58%
Summacare	$279 - $2,980	78%
Paramount Healthcare Inc	$284 - $3,035	80%
Blue Cross Blue Shield	$289 - $2,421	81%
Frontpath	$292 - $3,311	82%
Health Alliance Plan	$292 - $3,522	82%
Humana	$292 - $1,574	82%
Molina Healthcare Of Ohio	$292 - $2,421	82%
Caresource	$296 - $2,421	83%
Cigna	$332 - $3,777	93%
Health Ohio Network	$403 - $3,739	113%
Amerihealth	$456 - $989	128%
Multiplan	$945 - $4,877	265%

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 $3,522.
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 Memorial 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.