CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Mayaguez Medical Center Dr Ramon Emeterio Betances

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $650
Cash Discount Price: $325
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Mayaguez Medical Center Dr Ramon Emeterio Betances is $650. 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 1.82x the Medicare baseline. Located in Carr 2 Bo Sabalos, Mayaguez, PR.

Cash / Self-Pay

$325

Average discount available for prompt cash payment at this facility.

Insurance Median

$650

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: $650 (182%)

Cash: $325 (91% of Medicare)

Ins. Median: $650 (182% 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
Medicare (plans)	$117	33%
Acaa	$233	65%
Salud Correccional	$379	106%
Plan Vital	$388 - $537	109%
Privado	$488	137%
Prossam	$500	140%
International Medical Card	$650	182%
Mapfre	$650	182%
Mmm	$650	182%
Triple S	$650	182%
Humana	$725 - $1,088	203%
Fondo Seguro Estado	$775	217%
McS Classicare	$775	217%
Medical Card System	$775	217%
Palic	$775	217%

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 $325.
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 Mayaguez Medical Center Dr Ramon Emeterio Betances 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.