CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Reston Hospital Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,915
Cash Discount Price: $11,567
vs. Medicare Baseline: 5.37x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Reston Hospital Center is $1,915. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,567. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.37x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$11,567

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,915

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: $11,567 (3245%)

Insurance Median: $1,915 (537%)

Cash: $11,567 (3245% of Medicare)

Ins. Median: $1,915 (537% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 537% of the Medicare baseline (a markup of 437%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$400 - $1,348	112%
United	$828 - $5,205	232%
Aetna	$1,915	537%
Lifeworks	$2,198	617%
Universal Healthcare Group	$2,545	714%
Carefirst	$5,063	1420%
Greenvbrier Sporting Club	$6,940	1947%
Virginia Health Network	$8,212	2304%
Corvel	$8,328	2337%
Occunet Workers Comp	$9,253	2596%
4Most Health Network	$10,410	2921%

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 $11,567.
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 Reston Hospital Center 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.