CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Oklahoma Surgical Hospital, LLC

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $649
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Oklahoma Surgical Hospital, LLC is $649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.82x the Medicare baseline. Located in 2408 East 81St Street, Suite 300, Tulsa, OK.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$649

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%)

Insurance Median: $649 (182%)

Ins. Median: $649 (182% 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.

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
Global Health Mca	$340	95%
Humana	$340 - $650	95%
Global Health	$431	121%
Healthcare Highways	$451 - $875	127%
Aetna	$520 - $962	146%
UnitedHealthcare	$537	151%
First Health	$595 - $1,225	167%
Community Care	$597	167%
Blue Cross Blue Shield	$649	182%
Cigna	$700 - $903	196%

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 $X.
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 Oklahoma Surgical Hospital, LLC 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.