CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Southern Coos Hospital & Health Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,149
Cash Discount Price: $2,634
vs. Medicare Baseline: 8.83x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Southern Coos Hospital & Health Center is $3,149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,634. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.83x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$2,634

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,149

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: $2,634 (739%)

Insurance Median: $3,149 (883%)

Cash: $2,634 (739% of Medicare)

Ins. Median: $3,149 (883% 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 883% of the Medicare baseline (a markup of 783%). 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
Cigna	$192 - $3,770	54%
Moda Health Plan - All Other Plans	$192 - $4,247	54%
Blue Cross Blue Shield	$193 - $4,438	54%
Providence Preferred - All Plans	$214 - $4,533	60%
Tricare	$438 - $2,771	123%
Aetna	$497 - $4,294	139%
Atrio Mcr Adv - Allplans	$497 - $3,149	139%
Confederated Tribes - All Plans	$497 - $3,149	139%
Moda Mcr Adv	$497 - $3,149	139%
Pacific Source Mcr Adv	$497 - $3,149	139%
Advanced Health - All Plans	$3,006	843%
Healthnet - All Plans	$3,960	1111%
Prov Netwrk Of America - All Plans	$4,294	1205%
Three Rivers - All Plans	$4,294	1205%
UnitedHealthcare	$4,294	1205%
First Choice - All Plans	$4,390	1232%
Multiplan - All Plans	$4,438	1245%
First Health - All Plans	$4,533	1272%
Pacific Source - All Other Plans	$4,533	1272%

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 $2,634.
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 Southern Coos Hospital & Health 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.