CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Sycamore Shoals Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$483
about 1.4× the $356 Medicare rate · typically $360–$501
modeled estimate · not a bill or quote
What this hospital charges insurers
$555
About the fair price
about $72 over the fair price · 1.6× Medicare
Medicare pays $356 Fair price $483 This hospital $555 Cash price $669 Hospital's list price $4,457

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $101 Priciest $555

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a MRI, brain (with and without contrast) is about $483 (about 1.4× the $356 Medicare rate). Sycamore Shoals Hospital charges insurers about $555, or about $669 in cash — about the fair price. Located in Elizabethton, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $317 - $4,346 89%
Blue Cross Blue Shieldmajor $326 - $1,510 91%
Aetnamajor $317 - $2,844 89%
Cignamajor $332 - $1,025 93%
Humanamajor $317 89%
Ambetter (Centene) $690 194%
Amerigroup $317 - $421 89%
Devoted Health $332 93%
Molina $329 - $577 92%
Sentara $317 - $1,240 89%
WellCare $336 - $4,457 94%
+ 3 smaller / regional plans $317 - $4,457
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals