CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $375
Cash Discount Price: $3,882
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Camc Greenbrier Valley Medical Center, Inc is $375. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,882. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.05x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$3,882

Average discount available for prompt cash payment at this facility.

Insurance Median

$375

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: $3,882 (1089%)

Insurance Median: $375 (105%)

Cash: $3,882 (1089% of Medicare)

Ins. Median: $375 (105% 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	$161 - $3,591	45%
Sentra Health	$161 - $776	45%
The Health Plan	$161 - $3,494	45%
Unicare	$161 - $169	45%
Aetna	$169 - $3,804	47%
Caresource	$169 - $3,106	47%
Clear Spring Health	$357	100%
Humana	$357 - $3,494	100%
UnitedHealthcare	$357 - $3,106	100%
Ally Align	$375	105%
Integrated Medical Solutions	$679	191%
Naphcare	$714	200%
Greenbrier Resort	$2,717	762%
Healthsmart	$2,717	762%
Multiplan	$3,067 - $3,377	860%
Fedmed	$3,494	980%

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 $3,882.
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 Camc Greenbrier Valley Medical Center, Inc 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.