CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,150
Cash Discount Price: $3,325
vs. Medicare Baseline: 8.84x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Marshfield Medical Center - Eau Claire is $3,150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,325. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.84x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.

Cash / Self-Pay

$3,325

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,150

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: $3,325 (933%)

Insurance Median: $3,150 (884%)

Cash: $3,325 (933% of Medicare)

Ins. Median: $3,150 (884% 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 884% of the Medicare baseline (a markup of 784%). 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
Security Health Plan (Shp)	$1,487 - $2,033	417%
Blue Cross Blue Shield	$1,498 - $1,697	420%
Family Health Center (Fhc)	$1,750	491%
The Alliance	$1,810 - $2,898	508%
Amish/Mennonite	$1,925	540%
Sanford Health Plan	$1,925	540%
UnitedHealthcare	$1,964 - $2,884	551%
Group Health Cooperative Of Eau Claire	$2,870 - $3,150	805%
Besse Forest Products	$2,975	835%
Molina Healthcare Of Wi	$2,975	835%
Rice Lake School District	$2,975	835%
Wps Health Insurance	$3,098 - $3,378	869%
Medica Of Wi	$3,262 - $3,332	915%
Cigna	$3,325	933%
Corvel	$3,325	933%
First Health	$3,325	933%
Health Partners	$3,325	933%
Healtheos By Multiplan Inc.	$3,325	933%
Three Rivers Provider Network (Trpn)	$3,325	933%
Trilogy	$3,342 - $3,360	938%
Coventry	$3,360	943%
Health Smart	$3,360	943%
Rising Medical Work Comp	$3,395	953%

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 $3,325.
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 Marshfield Medical Center - Eau Claire 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.