CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Mid-Columbia Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $415
  • Cash Discount Price: $1,036
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Mid-Columbia Medical Center is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,036. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.16x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$1,036

Average discount available for prompt cash payment at this facility.

Insurance Median
$415

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: $1,036 (291%)
Insurance Median: $415 (116%)
Cash: $1,036 (291% of Medicare)
Ins. Median: $415 (116% 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
Blue Cross Blue Shield $104 - $12,677 29%
Community Hp Mcr Adv - All Plans $104 - $415 29%
Molina Mcr Adv $104 - $415 29%
Tricare $104 - $415 29%
Va Ccn Triwest - All Plans $104 - $415 29%
Healthnet Mcr Adv $106 - $424 30%
Humana $107 - $436 30%
Moda Mcr Adv $107 - $415 30%
Devoted Mcr Adv - All Plans $112 - $4,294 31%
Employee Health Plan - All Plans $114 - $748 32%
Molina - All Other Plans $114 - $457 32%
Aetna $124 - $3,670 35%
Healthnet - All Other Plans $156 44%
Cigna $174 - $3,745 49%
Multiplan/Phcs - All Plans $176 - $3,777 49%
Molina Mcaid $177 - $2,068 50%
Coventry - All Plans $202 - $3,578 57%
First Choice - All Plans $205 - $3,777 58%
Providence Ppo - All Plans $214 - $3,777 60%
Moda Health Plan - All Other Plans $225 - $2,624 63%
Amerigroup Mcaid - All Plans $341 - $2,068 96%
Coordinated Care Mcaid - All Plans $341 - $2,068 96%
Norocor - All Plans $1,988 558%
UnitedHealthcare $2,068 - $3,777 580%
First Health - All Plans $2,500 701%
Healthscape - All Plans $3,181 892%
Pacific Source - All Plans $3,658 1026%
Trpn - Three Rivers - All Plans $3,777 1060%
Ahp - Americas Hlth Plan - All Plans $3,857 1082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals