CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Richland Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $632
Cash Discount Price: $3,858
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Richland Hospital is $632. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,858. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.77x the Medicare baseline. Located in 333 E Second St, Richland Center, WI.

Cash / Self-Pay

$3,858

Average discount available for prompt cash payment at this facility.

Insurance Median

$632

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: $3,858 (1082%)

Insurance Median: $632 (177%)

Cash: $3,858 (1082% of Medicare)

Ins. Median: $632 (177% 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
Blue Cross Blue Shield	$101 - $4,341	28%
Security Health	$101 - $1,688	28%
Group Health Coop Of Eau Claire	$105 - $3,902	29%
Care Wisconsin	$116 - $3,902	33%
Dean Health Plan	$116 - $3,902	33%
Health Tradition	$116 - $4,582	33%
Humana	$116 - $3,902	33%
Quartz	$116 - $3,902	33%
UnitedHealthcare	$116 - $3,902	33%
Aetna	$1,044 - $4,341	293%
Cigna	$1,044 - $3,183	293%
Employer Health Care Alliance	$1,044 - $3,376	293%

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 $3,858.
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 Richland 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.