CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Capital Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,011
Cash Discount Price: $3,370
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Capital Medical Center is $1,011. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,370. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.84x the Medicare baseline. Located in 3900 Capital Mall Dr Sw, Olympia, WA.

Cash / Self-Pay

$3,370

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,011

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: $3,370 (945%)

Insurance Median: $1,011 (284%)

Cash: $3,370 (945% of Medicare)

Ins. Median: $1,011 (284% 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 284% of the Medicare baseline (a markup of 184%). 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
Community Health Plan Of Washington	$333 - $654	93%
Coordinated Care	$339	95%
Molina	$339 - $718	95%
UnitedHealthcare	$339 - $1,934	95%
Regence	$392	110%
Aetna	$400 - $1,159	112%
Wellcare	$408	114%
Wellpoint	$494	139%
Premera	$690 - $1,011	194%
Ambetter / Centene	$718	201%
First Choice	$1,530 - $2,429	429%
Kaiser	$2,149	603%
Pacificsource	$2,948 - $4,254	827%
Cigna	$4,733	1328%
Multiplan/Phcs	$6,150 - $6,739	1725%
First Health	$7,160	2009%

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 $3,370.
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 Capital Medical 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.