CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Hospital Perea

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $271
Cash Discount Price: $1,200
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Hospital Perea is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,200. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.76x the Medicare baseline. Located in 15 Dr Basora Street, Mayaguez, PR.

Cash / Self-Pay

$1,200

Average discount available for prompt cash payment at this facility.

Insurance Median

$271

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: $1,200 (337%)

Insurance Median: $271 (76%)

Cash: $1,200 (337% of Medicare)

Ins. Median: $271 (76% 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
First Medical	$102 - $325	29%
Va	$117	33%
Mso	$136 - $183	38%
Plan De Salud Menonita	$155 - $575	43%
Mcs	$171 - $271	48%
Medicare (plans)	$174	49%
Ch	$185	52%
Tricare	$186	52%
Bella Vista	$217	61%
Triple S	$244 - $288	68%
Prossam	$266	75%
Comerciales	$325	91%
Cigna	$358	100%
Humana	$362 - $492	102%
Mc	$388	109%
Mapfre	$625	175%
Bl	$650	182%
Privado	$650	182%
Acaa	$750	210%
Aarp	$1,300	365%

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 $1,200.
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 Hospital Perea 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.