CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Anmed Health
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $277
- Cash Discount Price: $256
- vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Anmed Health is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.78x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$256
Average discount available for prompt cash payment at this facility.
Insurance Median
$277
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: $256 (72%)
Insurance Median: $277 (78%)
Cash: $256 (72% of Medicare)
Ins. Median: $277 (78% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $80 - $4,400 | 22% |
| Absolute Total Care [58] | $81 - $2,459 | 23% |
| Humana | $84 - $3,168 | 24% |
| Select Health Of Sc [637] | $84 - $269 | 24% |
| Aetna | $100 - $3,375 | 28% |
| Blue Cross Blue Shield | $100 - $4,180 | 28% |
| Devoted Health Alt Payer [9401] | $100 - $296 | 28% |
| Devoted Health [94] | $100 - $296 | 28% |
| Medicare (plans) | $100 - $4,400 | 28% |
| UnitedHealthcare | $100 - $4,400 | 28% |
| Vaccn - Va Community Care Network [16] | $100 - $291 | 28% |
| Veterans Administration [633] | $100 - $291 | 28% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $103 - $301 | 29% |
| Absolute Total Care Mcr Plans [41] | $103 - $301 | 29% |
| Cigna | $103 - $4,400 | 29% |
| Molina Dual Options Alt Payer [1501] | $103 - $299 | 29% |
| Molina Dual Options [15] | $103 - $299 | 29% |
| Blue Choice Health Plan [922] | $104 - $2,893 | 29% |
| Champva [604] | $104 - $305 | 29% |
| Tricare | $104 - $305 | 29% |
| First Choice Vip Careplus Alt Payer [3301] | $105 - $305 | 29% |
| First Choice Vip [33] | $105 - $305 | 29% |
| Nhc Advantage Alt Payer [6101] | $105 - $305 | 29% |
| Nhc Advantage [61] | $105 - $305 | 29% |
| Bright Health Alt Payer [1001] | $109 - $359 | 31% |
| Geha [302] | $136 - $2,332 | 38% |
| Golden Rule Ins Co [584] | $136 - $2,332 | 38% |
| Employee Benefit Management Services [869] | $138 - $1,232 | 39% |
| Ambetter / Centene | $142 - $416 | 40% |
| First Choice Next [96] | $144 - $421 | 40% |
| Molina Marketplace [97] | $144 - $421 | 40% |
| Bright Health [11] | $146 - $453 | 41% |
| Mail Handlers Benefit Plan [327] | $159 - $3,375 | 45% |
| Rural Carrier Benefit Plan [406] | $159 - $3,375 | 45% |
| Workers Compensation [622] | $161 - $471 | 45% |
| Preferred Administrators [19] | $173 - $2,640 | 49% |
| Edison Health Solutions [95] | $174 - $509 | 49% |
| Healthscope [98] | $174 - $509 | 49% |
| Nalc Health Benefit Plan [291] | $180 - $1,926 | 51% |
| Planned Administrators [886] | $240 - $2,723 | 67% |
| Phcs [940] | $253 - $3,872 | 71% |
| Medcost [206] | $266 - $3,960 | 75% |
| Thomas Cooper & Company [315] | $275 - $2,723 | 77% |
| Other Hospital Payers [1991] | $411 - $4,400 | 115% |
| Coventry Health [245] | $3,168 - $3,894 | 889% |
| American Continental Ins [778] | $4,400 | 1234% |
| American Republic Life Ins [722] | $4,400 | 1234% |
| Business Office [6000] | $4,400 | 1234% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $4,400 | 1234% |
| First Health [946] | $4,400 | 1234% |
| Guarantee Trust Life Insurance [236] | $4,400 | 1234% |
| Home Health Infusion Payer [6001] | $4,400 | 1234% |
| Manhattan Life Ins Co [932] | $4,400 | 1234% |
| Miscellaneous Commercial [1] | $4,400 | 1234% |
| New Era Life Ins Co [437] | $4,400 | 1234% |
| Non-Contracted [22] | $4,400 | 1234% |
| Physicians Mutual [773] | $4,400 | 1234% |
| Reference Based Pricing/Limited Plan [21] | $4,400 | 1234% |
| State Farm Ins Co [373] | $4,400 | 1234% |
| Sterling Investors Life [244] | $4,400 | 1234% |
| Supermed/Med Mutual Of Ohio [539] | $4,400 | 1234% |
| United American Ins Co [277] | $4,400 | 1234% |