CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Dickenson Community Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $894
  • Cash Discount Price: $656
  • vs. Medicare Baseline: 2.51x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Dickenson Community Hospital is $894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $656. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.51x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.
Cash / Self-Pay
$656

Average discount available for prompt cash payment at this facility.

Insurance Median
$894

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: $656 (184%)
Insurance Median: $894 (251%)
Cash: $656 (184% of Medicare)
Ins. Median: $894 (251% 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 251% of the Medicare baseline (a markup of 151%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $481 - $2,853 135%
Optima Health $733 206%
Blue Cross Blue Shield $755 - $1,473 212%
Aetna $762 - $2,282 214%
Molina Healthcare $762 - $890 214%
Cigna $786 - $1,025 221%
Amerigroup $856 240%
Managed Medicaire $856 240%
Medicare (plans) $856 240%
Sentara Health $856 - $1,052 240%
United Mine Workers Of America $856 240%
Humana $870 244%
Devoted Health Plan $899 252%
Nhc Advantage $899 252%
Medcost $999 280%
Ambetter / Centene $1,056 296%
Seven Corners, Inc. $2,853 800%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals