CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Okeene Municipal Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,537
Cash Discount Price: $1,952
vs. Medicare Baseline: 4.31x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Okeene Municipal Hospital is $1,537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,952. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.31x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$1,952

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,537

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: $1,952 (548%)

Insurance Median: $1,537 (431%)

Cash: $1,952 (548% of Medicare)

Ins. Median: $1,537 (431% 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 431% of the Medicare baseline (a markup of 331%). 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
Pref Community Choice Ppo-All Plans	$366	103%
Aetna	$410 - $2,440	115%
Humana	$600 - $2,440	168%
Blue Cross Blue Shield	$643 - $1,391	180%
Coventry Mcr Adv	$1,391	390%
Global Health Mcr Adv	$1,391	390%
Medicare (plans)	$1,391	390%
UnitedHealthcare	$1,391 - $1,735	390%
Cigna	$1,493	419%
Ihs-All Plans	$1,581	444%
Ok Complete Health Comm-All Other Plans	$1,697	476%
Healthchoice Ip Only-All Plans	$1,708	479%
Global Health-All Other Plans	$1,808	507%
Healthcare Highways-All Plans	$1,830	513%
Phcs Savility/Multiplan - All Plans	$1,830	513%
Medica Commercial-All Other Plans	$1,878	527%
Community Care Hmo-All Plans	$2,196	616%
Ok Complete Health Mcaid	$2,440	685%

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 $1,952.
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 Okeene Municipal Hospital 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.