CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Beloit Health System

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $4,191
Cash Discount Price: $1,916
vs. Medicare Baseline: 11.76x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Beloit Health System is $4,191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,916. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.76x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$1,916

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,191

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: $1,916 (538%)

Insurance Median: $4,191 (1176%)

Cash: $1,916 (538% of Medicare)

Ins. Median: $4,191 (1176% 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 1176% of the Medicare baseline (a markup of 1076%). 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
Aetna	$210 - $6,636	59%
Blue Cross Blue Shield	$210 - $4,316	59%
Dean Health	$210 - $3,909	59%
Independent Care Health Plan	$210 - $367	59%
Quartz	$210 - $4,541	59%
UnitedHealthcare	$210 - $3,143	59%
Naphcare	$315 - $4,191	88%
Cook Children'S Health Plan (Cchp)	$367 - $3,493	103%
Humana	$367 - $5,239	103%
Managed Health Services	$367	103%
Molina Healthcare	$367	103%
Wellcare	$367	103%
The Alliance	$799 - $1,469	224%
Wps	$1,052 - $5,174	295%
Wea Trust	$3,498 - $3,842	981%
Multiplan	$5,088 - $5,589	1427%
Health Eos	$5,660 - $6,357	1588%
Cigna	$5,851 - $6,636	1642%
Hfn	$5,851 - $6,636	1642%
Preferred Network Access	$5,851 - $6,636	1642%

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 $1,916.
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 Beloit Health System 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.