CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: St John Owasso

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $357
  • Cash Discount Price: $1,279
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at St John Owasso is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,279. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 12451 East 100Th Street North, Owasso, OK.
Cash / Self-Pay
$1,279

Average discount available for prompt cash payment at this facility.

Insurance Median
$357

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: $1,279 (359%)
Insurance Median: $357 (100%)
Cash: $1,279 (359% of Medicare)
Ins. Median: $357 (100% 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
First Health $148 - $944 42%
Aetna $266 - $1,591 75%
Champva $340 95%
Community Care - St John Network Senior - Govt $340 95%
Communitycare Senior $340 95%
Life Pace $340 95%
Longevity Health Plan Of Oklahoma $340 95%
Medicare (plans) $340 95%
UnitedHealthcare $340 - $350 95%
Va Community Care Network $340 95%
Veterans Administration $340 95%
Humana $343 96%
Blue Cross Blue Shield $357 - $1,161 100%
Communitycare (Standard) $374 105%
Community Care (Select) 7/1/13 $408 114%
Ccl&H $442 124%
Smarthealth $476 134%
Community Care Smarthealth $510 - $815 143%
Communitycare (Select) $510 - $781 143%
Connect Health Benefit $679 191%
Evolutions $679 191%
Kempton Group Administrators $764 214%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12451 East 100Th Street North, Owasso, OK 74055
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals