CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Cascade Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $605
Cash Discount Price: $1,581
vs. Medicare Baseline: 1.70x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Cascade Medical Center is $605. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,581. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.70x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$1,581

Average discount available for prompt cash payment at this facility.

Insurance Median

$605

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: $1,581 (444%)

Insurance Median: $605 (170%)

Cash: $1,581 (444% of Medicare)

Ins. Median: $605 (170% 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.

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
Aetna	$120 - $2,953	34%
Asuris Northwest Health	$120 - $2,953	34%
Blue Cross Blue Shield	$120 - $2,494	34%
Humana	$120 - $1,897	34%
Medicare (plans)	$120 - $1,897	34%
Molina Healthcare Of Washington Mcr Adv	$121 - $1,916	34%
Wellcare Health Plan Inc Mcr Adv	$130 - $2,049	36%
Tricare	$336	94%
Medicaid / KanCare	$359 - $1,753	101%
Community Health Plan Of Wa Mcd Rep	$374 - $1,825	105%
Coordinated Care Of Wa Mcd Rep	$374 - $1,825	105%
Molina Healthcare Of Washington Mcd Rep	$374 - $1,825	105%
Ambetter / Centene	$421 - $2,057	118%
Community Health Plan Of Wa	$437 - $2,133	123%
First Choice Health Network	$496	139%
Pacificsource Health Plans	$496	139%
Cigna	$562 - $2,743	158%
Washington Department Of Labor And Industry	$627	176%

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 $1,581.
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 Cascade 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.