CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Hospital San Francisco

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $288
  • Cash Discount Price: $325
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Hospital San Francisco is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $325. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.81x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$325

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $325 (91%)
Insurance Median: $288 (81%)
Cash: $325 (91% of Medicare)
Ins. Median: $288 (81% 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
First Medical $102 - $433 29%
Triple S $102 - $650 29%
Mso $118 - $187 33%
Aarp $149 42%
Humana $186 - $320 52%
Medicare (plans) $186 52%
Tricare $188 53%
Fondo Del Seguro Estado $194 54%
Mcs $194 - $408 54%
Pr Other Insurances $194 54%
Ch $255 72%
Mpc - Us $255 72%
UnitedHealthcare $255 72%
Us $255 72%
Plan De Salud Menonita $271 - $288 76%
Privado $325 91%
Western Medical Hospice $325 91%
Mc $388 109%
Mapfre $467 131%
Comerciales $513 144%
Acaa $638 179%
Corvel Network $650 182%
Mpc-Pr Other Insurances $650 182%
Cigna $725 203%
Medicaid / KanCare $725 203%
Prossam $725 203%
Va $725 203%
Bl $812 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals