CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $334
Cash Discount Price: $2,152
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Chan Soon- Shiong Medical Center at Windber is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,152. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.94x the Medicare baseline. Located in 600 Somerset Avenue, Windber, PA.

Cash / Self-Pay

$2,152

Average discount available for prompt cash payment at this facility.

Insurance Median

$334

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: $2,152 (604%)

Insurance Median: $334 (94%)

Cash: $2,152 (604% of Medicare)

Ins. Median: $334 (94% 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.

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
United	$204 - $1,013	57%
Highmark	$237 - $667	66%
Amerihealth Caritas	$282 - $334	79%
Geisinger	$288 - $561	81%
Aetna	$292 - $379	82%
Humana	$292 - $334	82%
Pa Health & Wellness	$292 - $334	82%
Upmc Health Plan	$292 - $2,531	82%
Cigna	$297 - $1,519	83%
Senior Life	$297 - $340	83%
Va Ccn	$297 - $340	83%
Highmark Wholecare	$315	88%

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 $2,152.
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 Chan Soon- Shiong Medical Center at Windber 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.