CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Duncan Regional Hospital, Inc

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,513

about 4.3× the $356 Medicare rate · typically $421–$1,690

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,636

About the fair price

about $123 over the fair price · 4.6× Medicare

Medicare pays $356 Fair price $1,513 This hospital $1,636 Cash price $728 Hospital's list price $5,666

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $183 Priciest $1,636

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

A fair price for a MRI, brain (with and without contrast) is about $1,513 (about 4.3× the $356 Medicare rate). Duncan Regional Hospital, Inc charges insurers about $1,636, or about $728 in cash — about the fair price. Located in Duncan, OK.

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	$3,853	1081%
Blue Cross Blue Shieldmajor	$1,554 - $2,439	436%
Aetnamajor	$4,816	1351%
Cignamajor	$5,099	1431%
Humanamajor	$364	102%
Friday Health	$928	260%
Health Net	$4,533	1272%
Healthcare Highways	$2,493 - $3,683	699%
Medica	$2,380	668%
+ 2 smaller / regional plans	$5,099 - $5,213

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 728), 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 Duncan Regional Hospital, Inc 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 Duncan Regional Hospital, Inc

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

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