CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Ascension Se Wisconsin Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $485
Cash Discount Price: $1,427
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Ascension Se Wisconsin Hospital is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,427. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.36x the Medicare baseline. Located in 5000 W Chambers St, Milwaukee, WI.

Cash / Self-Pay

$1,427

Average discount available for prompt cash payment at this facility.

Insurance Median

$485

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: $1,427 (400%)

Insurance Median: $485 (136%)

Cash: $1,427 (400% of Medicare)

Ins. Median: $485 (136% 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
Medicare (plans)	$347	97%
Veterans Administration	$347	97%
Wps	$393 - $1,257	110%
Smart Health	$485	136%
UnitedHealthcare	$828	232%
Trilogy	$836	235%
Cigna	$2,100	589%

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 $1,427.
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 Ascension Se Wisconsin 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.