CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Ohio Valley Surgical Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,050

about 5.8× the $356 Medicare rate · typically $363–$2,263

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,247

About the fair price

about $197 over the fair price · 6.3× Medicare

Medicare pays $356 Fair price $2,050 This hospital $2,247 Cash price $2,140 Hospital's list price $3,567

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $171 Priciest $2,247

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $2,050 (about 5.8× the $356 Medicare rate). Ohio Valley Surgical Hospital charges insurers about $2,247, or about $2,140 in cash — about the fair price. Located in Springfield, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$340 - $17,571	95%
Blue Cross Blue Shieldmajor	$340 - $40,293	95%
Aetnamajor	$340 - $20,896	95%
Cignamajor	$340 - $18,817	95%
Humanamajor	$340 - $11,919	95%
AmeriHealth	$3,657	1026%
CareSource	$511 - $17,827	143%
Devoted Health	$415 - $13,707	116%
GEHA	$399 - $20,896	112%
Medica	$602 - $17,571	169%
Molina	$340 - $11,885	95%
UniCare	$340 - $11,885	95%
WellCare	$340 - $11,885	95%
+ 41 smaller / regional plans	$340 - $20,896

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,140), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Ohio Valley Surgical Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ohio Valley Surgical Hospital

Compare: MRI, brain (with and without contrast) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.