CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Mercy Hospital Healdton, Inc.

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$208

about 0.6× the $356 Medicare rate · typically $183–$520

modeled estimate · not a bill or quote

What this hospital charges insurers

$183

Below the fair price — a good deal

about $25 under the fair price · 0.5× Medicare

Medicare pays $356 Fair price $208 This hospital $183 Cash price $3,463 Hospital's list price $5,327

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Lowest price of the 9 OK hospitals we have prices for — a strong deal.

Cheapest $183 Priciest $334

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $208 (about 0.6× the $356 Medicare rate). Mercy Hospital Healdton, Inc. charges insurers about $183, or about $3,463 in cash — below the fair price — a good deal. Located in Healdton, 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	$1,463 - $4,794	410%
Blue Cross Blue Shieldmajor	$1,463 - $2,823	410%
Aetnamajor	$183 - $3,644	51%
Cignamajor	$1,507 - $3,995	423%
Humanamajor	$183 - $1,463	51%
Ambetter (Centene)	$1,598	448%
Healthcare Highways	$3,995	1121%
HealthLink	$4,528 - $4,794	1270%
Independent Health	$1,463	410%
Medica	$2,029	569%
+ 38 smaller / regional plans	$980 - $4,794

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 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 3,463), 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 Mercy Hospital Healdton, 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 Mercy Hospital Healdton, Inc.

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

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