CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,086
Cash Discount Price: $827
vs. Medicare Baseline: 3.05x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Oklahoma Heart Hospital South, LLC is $1,086. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $827. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.05x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$827

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,086

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: $827 (232%)

Insurance Median: $1,086 (305%)

Cash: $827 (232% of Medicare)

Ins. Median: $1,086 (305% 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 305% of the Medicare baseline (a markup of 205%). 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
Aetna	$175 - $336	49%
Humana	$175 - $1,629	49%
Coventry	$328	92%
Blue Cross Blue Shield	$336 - $1,095	94%
Cigna	$336 - $1,424	94%
Medicare (plans)	$336 - $346	94%
UnitedHealthcare	$336 - $356	94%
Va Ccn	$336	94%
Geha	$356	100%
Ambetter / Centene	$470	132%
Healthcare Highways	$590 - $1,417	166%
Community Care	$671 - $1,653	188%
The Kempton Group	$839	235%
Healthscope	$1,086	305%
Oscar Insurance Company	$1,086	305%
Webtpa Chickasaw Nation Hch	$1,110	311%
Webtpa Hobby Lobby Hch	$1,252	351%
Global Health	$1,488	417%
Sana Benefits	$1,535	431%
Ufcw	$1,535	431%
First Health Network	$1,629	457%
Manhattan Life	$1,629	457%
Phcs	$1,653	464%
Preferred Community Choice	$1,795	504%
Multiplan	$2,125	596%

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 $827.
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 Heart Hospital South, 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.