CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Saint Thomas Rutherford Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $393
Cash Discount Price: $1,516
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Saint Thomas Rutherford Hospital is $393. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,516. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.10x the Medicare baseline. Located in 1700 Medical Center Parkway, Murfreesboro, TN.

Cash / Self-Pay

$1,516

Average discount available for prompt cash payment at this facility.

Insurance Median

$393

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: $1,516 (425%)

Insurance Median: $393 (110%)

Cash: $1,516 (425% of Medicare)

Ins. Median: $393 (110% 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
Blue Cross Blue Shield	$297 - $705	83%
Point Comfort Underwriters	$308	86%
Medicare (plans)	$322 - $359	90%
Ascension Complete	$342	96%
Centurion Of Tn	$342	96%
Covid Uninsured Test Fund	$342	96%
Healthspring Mcr Replacement	$342	96%
Humana	$342 - $422	96%
Nhc Advantage	$342	96%
Triwest Va Pccc	$342	96%
UnitedHealthcare	$342 - $611	96%
Aetna	$349 - $2,629	98%
Amerigroup Mcr Replacement	$352	99%
Ambetter / Centene	$445	125%
Oscar Health	$479	134%
Smart Health	$479	134%
Cigna	$802 - $1,325	225%

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 $1,516.
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 Saint Thomas Rutherford Hospital 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.