CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 70553 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$650
about 1.8× the $356 Medicare rate · typically $244–$2,851
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,889
Well above the fair price
about $2,239 over the fair price · 8.1× Medicare
Medicare pays $356 Fair price $650 This hospital $2,889 Cash price $2,148 Hospital's list price $4,187

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 $2,889

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

A fair price for a MRI, brain (with and without contrast) is about $650 (about 1.8× the $356 Medicare rate). Gundersen Moundview Hospital and Clinics charges insurers about $2,889, or about $2,148 in cash — well above the fair price. Located in Friendship, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $650. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $1,591 446%
Blue Cross Blue Shieldmajor $1,244 - $5,593 349%
Aetnamajor $3,978 1116%
Humanamajor $3,559 999%
Amerigroup $174 49%
Dean Health Plan $1,872 525%
HealthPartners $1,926 - $3,697 540%
Quartz $2,282 640%
Security Health Plan $1,926 540%
UCare $1,926 - $3,350 540%
+ 5 smaller / regional plans $1,244 - $3,978
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 402 W Lake St, Friendship, WI 53934
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals