CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Snoqualmie Valley Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,082
Cash Discount Price: $2,537
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Snoqualmie Valley Hospital is $1,082. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,537. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.04x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$2,537

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,082

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: $2,537 (712%)

Insurance Median: $1,082 (304%)

Cash: $2,537 (712% of Medicare)

Ins. Median: $1,082 (304% 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 304% of the Medicare baseline (a markup of 204%). 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 Wa Mcd Rep	$194 - $3,506	54%
Medicaid / KanCare	$194 - $3,507	54%
UnitedHealthcare	$194 - $6,910	54%
Amerigroup Wellpoint	$206 - $3,717	58%
Washington Coordinated Care	$210 - $3,787	59%
Molina Healthcare Of Washington Mcd Rep	$213 - $3,787	60%
Blue Shield Of Wa Regence Mcr Adv	$366 - $3,197	103%
Community Health Plan Of Wa	$366 - $3,230	103%
Medicare (plans)	$366 - $3,165	103%
Molina Healthcare Of Washington Mcr Adv	$366 - $3,165	103%
Molina Healthcare Of Washington	$374 - $3,230	105%
Aetna	$427 - $4,364	120%
Blue Cross Blue Shield	$449 - $4,507	126%
Blue Shield Of Wa Regence	$462 - $772	130%
First Choice Health Network	$496 - $5,258	139%
Humana	$527 - $3,197	148%
Kaiser Foundation Health Plan Of The Northwest	$779 - $4,729	219%
Cigna	$990 - $6,009	278%

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 $2,537.
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 Snoqualmie Valley 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.