CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Jefferson Healthcare

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,458
Cash Discount Price: $1,960
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Jefferson Healthcare is $1,458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,960. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.09x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$1,960

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,458

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: $1,960 (550%)

Insurance Median: $1,458 (409%)

Cash: $1,960 (550% of Medicare)

Ins. Median: $1,458 (409% 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 409% of the Medicare baseline (a markup of 309%). 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
Tricare	$107 - $1,598	30%
Chpw Mcr Adv	$115 - $1,726	32%
Aetna	$123 - $4,110	35%
Medicare (plans)	$123 - $1,630	35%
Molina Mcr Adv	$123 - $1,598	35%
Molina Marketplace-All Other Plans	$133 - $1,998	37%
Chpw Commercial-All Other Plans	$160 - $3,882	45%
Coord Care Comm/Exchge-All Other Plans	$170 - $4,110	48%
Chpw Mcaid	$200 - $1,427	56%
Molina Mcaid	$200 - $1,458	56%
Amerigroup Mcaid-All Plans	$206 - $1,500	58%
Regence-All Other Plans	$249 - $3,425	70%
Premera-All Plans	$283 - $3,882	79%
Cigna	$299 - $4,110	84%
Coord Care Mcaid Ip/Op Only	$1,529	429%
UnitedHealthcare	$2,558	718%
Coord Care Cascade Ip/Op Only	$4,110	1153%

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 $1,960.
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 Jefferson Healthcare 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.