CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Hillcrest Hospital Cushing

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,484
Cash Discount Price: $1,489
vs. Medicare Baseline: 4.16x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Hillcrest Hospital Cushing is $1,484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,489. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.16x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$1,489

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,484

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: $1,489 (418%)

Insurance Median: $1,484 (416%)

Cash: $1,489 (418% of Medicare)

Ins. Median: $1,484 (416% 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 416% of the Medicare baseline (a markup of 316%). 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
Black Lung [6055]	$1,241	348%
Healthcare Highways [2210]	$1,241 - $1,484	348%
Hooray Health [8000]	$1,241	348%
Lucent Health [6000]	$1,241	348%
Oncology Patient Assistance Programs [2295]	$1,241	348%
Oscar Insurance Company [7005]	$1,241	348%
Healthscope Benefits [2290]	$1,349	378%
UnitedHealthcare	$1,349 - $2,457	378%
Web Tpa [2115]	$1,484	416%
Cigna	$2,427	681%
Healthpartners [1500]	$2,427	681%
National Association Of Letter Carriers [1695]	$2,427	681%
Pba [1775]	$2,427	681%
Global Health [1430]	$3,077	863%
First Health [1375]	$3,439	965%
Multiplan [1680]	$3,439	965%
Healthcare Solutions [1485]	$3,524	989%
Healthsmart [1505]	$4,219	1184%
Pending Ssi [1616]	$4,963	1392%

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 $1,489.
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 Hillcrest Hospital Cushing 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.