CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Indiana Regional Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $364
  • Cash Discount Price: $1,845
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Indiana Regional Medical Center is $364. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,845. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.02x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$1,845

Average discount available for prompt cash payment at this facility.

Insurance Median
$364

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: $1,845 (518%)
Insurance Median: $364 (102%)
Cash: $1,845 (518% of Medicare)
Ins. Median: $364 (102% 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
Highmark Wholecare $247 - $364 69%
Highmark $249 - $1,002 70%
Humana $292 - $358 82%
Aetna $295 - $1,114 83%
Cigna $297 - $977 83%
Medicare (plans) $297 - $364 83%
Tricare $297 - $5,126 83%
United Mine Workers Of America $297 - $364 83%
UnitedHealthcare $297 - $2,050 83%
Ambetter / Centene $307 - $376 86%
Amerihealth Caritas $307 - $376 86%
Geisinger Health Plan $307 - $376 86%
Upmc Health Plan $312 - $4,929 88%
Geisinger $416 - $1,019 117%
Pa Health And Wellness Commercial $416 - $1,019 117%
Department Of Human Services And Torrance State Hospital $3,229 906%
Premier Comp Solutions, Llc $4,613 1294%
Miscellaneous Commercial $5,126 1438%
Pa Workers Compensation $5,126 1438%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals