CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Greeneville Community Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $668
  • Cash Discount Price: $669
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Greeneville Community Hospital is $668. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $669. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.87x the Medicare baseline. Located in 1420 Tusculum Boulevard, Greeneville, TN.
Cash / Self-Pay
$669

Average discount available for prompt cash payment at this facility.

Insurance Median
$668

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: $669 (188%)
Insurance Median: $668 (187%)
Cash: $669 (188% of Medicare)
Ins. Median: $668 (187% 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
UnitedHealthcare $192 - $4,035 54%
Aetna $326 - $1,903 91%
Humana $326 91%
Managed Medicaire $326 91%
Medicare (plans) $326 91%
Sentara Health $326 - $1,150 91%
United Mine Workers Of America $326 91%
Blue Cross Blue Shield $329 - $1,473 92%
Amerigroup $339 - $388 95%
Cigna $342 - $786 96%
Devoted Health Plan $342 96%
Mountain Empire Pace $342 96%
Nhc Advantage $342 96%
Wellcare $345 - $4,457 97%
Optima Health $555 156%
Ambetter / Centene $710 199%
Medcost $2,121 595%
First Health Coventry $3,566 1000%
Molina Healthcare $4,457 1250%
Seven Corners, Inc. $4,457 1250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1420 Tusculum Boulevard, Greeneville, TN 37745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals