CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: West Tennessee Healthcare Bolivar Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$672

about 1.9× the $356 Medicare rate · typically $325–$1,359

modeled estimate · not a bill or quote

What this hospital charges insurers

$528

Below the fair price — a good deal

about $144 under the fair price · 1.5× Medicare

Medicare pays $356 Fair price $672 This hospital $528 Cash price $341 Hospital's list price $1,136

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 $528

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 $672 (about 1.9× the $356 Medicare rate). West Tennessee Healthcare Bolivar Hospital charges insurers about $528, or about $341 in cash — below the fair price — a good deal. Located in Bolivar, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$589	165%
Blue Cross Blue Shieldmajor	$281 - $503	79%
Aetnamajor	$784 - $794	220%
Cignamajor	$283	79%
Oscar Health	$650	182%
+ 2 smaller / regional plans	$341 - $552

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 341), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm West Tennessee Healthcare Bolivar Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at West Tennessee Healthcare Bolivar Hospital

Compare: MRI, brain (with and without contrast) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.