CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Christ Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $926
  • Cash Discount Price: $2,006
  • vs. Medicare Baseline: 2.60x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Christ Hospital is $926. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,006. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.60x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.
Cash / Self-Pay
$2,006

Average discount available for prompt cash payment at this facility.

Insurance Median
$926

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: $2,006 (563%)
Insurance Median: $926 (260%)
Cash: $2,006 (563% of Medicare)
Ins. Median: $926 (260% 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 260% of the Medicare baseline (a markup of 160%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $194 - $3,167 54%
Caresource [2031] $194 - $3,167 54%
Humana $194 - $3,167 54%
Medicaid / KanCare $194 - $3,167 54%
UnitedHealthcare $200 - $3,521 56%
Aetna $330 - $2,113 93%
Allied Benefits [2163] $330 93%
Ambetter / Centene $330 93%
Buckeye Mycare Dual [2171] $330 93%
Cigna $330 - $3,521 93%
Custom Design Benefits - True Cost [3004] $330 93%
First Health [2041] $330 93%
Medben [2222] $330 93%
Medicare (plans) $330 93%
Medigold Ppo [2204] $330 93%
Meridian [2185] $330 93%
Meritain Health [2224] $330 93%
Other Exchange Plan [9992] $330 - $3,521 93%
Perennial [4200] $330 93%
Poppins Health [2299] $330 93%
Kentucky Passport/Molina [2097] $792 - $880 222%
Wellcare Of Kentucky [2191] $792 - $880 222%
Medical Mutual [2054] $972 273%
Western And Southern [2076] $972 273%
Geha [2168] $1,017 285%
Golden Rule [2161] $1,017 285%
United Medical Resources [2104] $1,017 285%
Ohio Health Choice [2062] $1,520 - $1,690 426%
Nalc [2178] $1,683 - $1,871 472%
Priority Health [2225] $1,683 - $1,871 472%
Life Synch [2080] $1,900 - $2,113 533%
Multiplan/Phcs [2059] $2,312 - $2,570 649%
Amerihealth Caritas [2230] $3,167 889%
Bccp [3079] $3,167 - $3,521 889%
Buckeye Community Health [2028] $3,167 889%
Healthcare Highways [2298] $3,167 - $3,521 889%
Sagamore Health Network [2066] $3,167 - $3,521 889%
Suburban Health [2408] $3,167 - $3,521 889%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2139 Auburn Avenue, Cincinnati, OH 45219
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals