CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Lincoln Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,330
Cash Discount Price: $3,758
vs. Medicare Baseline: 9.34x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Lincoln Hospital is $3,330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,758. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.34x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$3,758

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,330

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: $3,758 (1054%)

Insurance Median: $3,330 (934%)

Cash: $3,758 (1054% of Medicare)

Ins. Median: $3,330 (934% 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 934% of the Medicare baseline (a markup of 834%). 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
Labor & Industries - All Plans	$193	54%
Ambetter / Centene	$1,954	548%
Molina Hlthy Options	$1,954	548%
UnitedHealthcare	$1,954 - $3,674	548%
Amerigroup Mcaid - All Plans	$2,072	581%
Aetna	$2,338 - $3,967	656%
Indian Hlth Services - All Plans	$2,338	656%
Tricare	$2,338	656%
Va Ccn - All Plans	$2,338	656%
Cigna	$3,186	894%
Molina Exchange-All Other Plans	$3,320	931%
Focus Healthcare Mgmt - All Plans	$3,340	937%
Blue Cross Blue Shield	$3,674	1031%
Uniform Medical Plan-All Plans	$3,674	1031%
First Health Coventry-All Plans	$3,716	1043%
Health Management Network-All Plans	$3,758	1054%
Three Rivers-All Plans	$3,758	1054%
Asuris Nw Health-All Plans	$3,841	1078%
Multiplan-All Plans	$3,967	1113%
Physician Hosp Comm Org-All Plans	$3,967	1113%
First Choice Health- All Plans	$4,050	1136%

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 $3,758.
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 Lincoln 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.