CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: McKenzie-Willamette Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,301
Cash Discount Price: $3,984
vs. Medicare Baseline: 3.65x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at McKenzie-Willamette Medical Center is $1,301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,984. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.65x the Medicare baseline. Located in 1460 G Street, Springfield, OR.

Cash / Self-Pay

$3,984

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,301

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: $3,984 (1118%)

Insurance Median: $1,301 (365%)

Cash: $3,984 (1118% of Medicare)

Ins. Median: $1,301 (365% 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 365% of the Medicare baseline (a markup of 265%). 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
Pacificsource Hlthier Or	$304	85%
Pacificsource Mcaid	$304	85%
Trillium Mcaid-All Plans	$304	85%
Healthnet Mcd	$331	93%
Kaiser Mcr Adv	$389	109%
Healthnet Mcr Adv	$409	115%
Providence Hp Pebb	$778	218%
Pacificsource Non-Individ	$1,040	292%
Blue Cross Blue Shield	$1,108	311%
Kaiser Mcaid	$1,494	419%
UnitedHealthcare	$1,603	450%
Pacificsource Psn/Voyager - All Other Plans	$2,752	772%
Pacificsource Individual	$3,320	931%
Healthnet Comm - All Other Plans	$3,399	954%
Providence Hp - All Other Plans	$4,316	1211%
Cigna	$4,601	1291%
Aetna	$5,312	1490%
Kaiser Comm - All Other Plans	$17,927	5030%

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 $3,984.
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 McKenzie-Willamette Medical Center 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.