CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Sauk Prairie Hospital

Billing Code: 70553 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$367
about 1.0× the $356 Medicare rate · typically $343–$1,083
modeled estimate · not a bill or quote
What this hospital charges insurers
$345
About the fair price
about $22 under the fair price · 1.0× Medicare
Medicare pays $356 Fair price $367 This hospital $345 Cash price $3,307 Hospital's list price $6,047

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $117 Priciest $345

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $367 (about 1.0× the $356 Medicare rate). Sauk Prairie Hospital charges insurers about $345, or about $3,307 in cash — about the fair price. Located in Prairie Du Sac, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $101 - $5,744 28%
Blue Cross Blue Shieldmajor $84 - $5,563 24%
Humanamajor $101 - $345 28%
Dean Health Plan $101 - $2,040 28%
Quartz $101 - $941 28%
+ 1 smaller / regional plan $550 - $4,837

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals