CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cleveland Clinic

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $629
  • Cash Discount Price: $1,544
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cleveland Clinic is $629. 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 1.76x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$1,544

Average discount available for prompt cash payment at this facility.

Insurance Median
$629

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: $629 (176%)
Cash: $1,544 (433% of Medicare)
Ins. Median: $629 (176% 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 - $1,133 19%
Aetna $103 - $3,360 29%
Blue Cross Blue Shield $103 - $2,017 29%
Devoted Health $103 - $331 29%
Humana $103 - $2,019 29%
The Health Plan $103 - $1,848 29%
United $103 - $828 29%
UnitedHealthcare $103 - $2,150 29%
Upmc $103 - $2,016 29%
Valor $103 - $331 29%
Cigna $106 - $2,688 30%
Communicare $108 - $348 30%
Perennial Health $111 - $358 31%
Pphp $111 - $364 31%
Zing Health $113 - $364 32%
Cc Ehp $195 - $1,482 55%
Oscar $263 - $913 74%
Paramount $329 - $415 92%
Mmo $331 - $2,352 93%
Buckeye $336 - $423 94%
Caresource $336 - $403 94%
Amerihealth $352 99%
Molina $352 - $423 99%
Ohcp $383 - $1,307 107%
Ohio Healthy $394 - $1,662 111%
Aultcare $424 - $1,445 119%
Amish Community Aid Plan $443 - $1,512 124%
United Bh $443 124%
Omas $492 - $1,680 138%
Healthsmart $542 - $1,848 152%
Phphi $591 - $2,016 166%
Clarity Health $640 - $2,184 180%
Gms $690 - $2,352 194%
Quality Care Partners $690 - $2,352 194%
Consociate Health $739 - $2,520 207%
Multiplan $886 - $3,024 249%
Three Rivers $886 - $3,024 249%
Usa Managed Care $886 - $3,024 249%
Php $1,425 400%
Medical Benefit Corp $1,662 466%
Parkview Health Plan $1,662 466%
Community Health Alliance $1,900 533%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals